Glade Avenue Assisted Living South

What the state also noted

• — In that same January 2026 survey, the add-on alarms on the Northeast (hall 600) and Northwest (hall 500) exit doors failed to sound when tested on 01/13, again on 01/14, and again on 01/15 when the executive director tried and failed to recode one. The maintenance director said no one had been trained to reset the alarms and kept no log of checks; on 01/16 a maintenance staffer answered 'No' when asked whether the alarms had been checked. Resident #1's hourly safety checks for 12/22/25 recorded the 3:00 p.m. through 10:00 p.m. checks as all performed at 9:29-9:30 p.m.; staff confirmed they documented at the end of shift, and one CNA said they had never been told to document the checks at all.
• — The same January 2026 survey also cited the center over the condition of the building, because 'the walls, ceilings, and carpets' on both resident halls were not clean and in good repair - dark stained and frayed carpet, a peeling brown-stained ceiling from a burst sprinkler, and a missing air vent cover with exposed duct - and because one resident's room had no baseboards, reportedly for at least two months.
• — The center's own accepted plan of correction for the January 2026 citation states Resident #1 'was discharged to higher level of care 1/31/26.'
• — As of the newest document in this packet (OSDH letter dated 02/20/2026), the state had accepted the center's correction plan for the January 2026 findings, with alleged substantial compliance by April 3, 2026, but had not yet completed the revisit ('We will conduct a revisit to verify that all violations have been corrected').
• — The most recent survey (01-16-2026, Event ID ISLY11) cited the center under the resident rights rule covering abuse and neglect, for failing 'to ensure adequate supervision to prevent elopement for 2 (#1 and #4) of 3 sampled residents.' Resident #1 left the building on 12/11/25 (over the courtyard fence, found about two miles away) and again on 12/22/25 (out a hall exit door, found by police about four miles away on foot). Resident #4 did not leave, but their 10/13/25 elopement risk score of 10 was never added to the staff ADL Quick Reference sheet or to their 10/27/25 service plan.
• — Three of the five surveys resulted in citations. Only the two October 2025 complaint investigations were entirely clean.
• — The July 2025 relicensure survey cited three items: food storage and sanitation (undated open food, dirty microwave, dirty mop water stored beside clean dishes, breakfast meat at 106-107 degrees), a missing 2024 annual fire marshal inspection (the most recent on file was dated 12/04/23), and meals not matching the dietitian-planned menu. These were accepted as corrected on 09/09/25 via an off-site paper revisit, not an on-site inspection.
• — The October 2024 relicensure survey cited five items: a broken steam-table burner with hall-tray food measured at 85.1, 96.6, and 99.5 degrees against a 135-degree hot-hold requirement; comprehensive assessments for five of five sampled residents completed without a resident or representative interview; hot water at 103.7 and 106.3 degrees, below the required 115, for three of four sampled resident sinks; medications not administered as ordered for two residents, including 6 missed doses of the blood thinner Eliquis and 30 missed doses each of Namenda, Remeron, and Ambien in September 2024; and inaccurate documentation of medications not given for two more residents, including missed insulin and blood-sugar checks. Several of the positives above come from complaint investigations conducted during that same survey.
• — The center's first plan of correction for the October 2024 survey was rejected by OSDH on 12/11/2024 because the completion dates fell outside 60 days; a resubmitted plan was accepted 12/12/2024. This packet contains no document verifying by revisit that the October 2024 deficiencies were actually corrected.
• — Four complaints (#OK00077353, #OK00088546, #OK00088786, #OK00088509) were investigated together in January 2026 and deficiencies were cited; OSDH did not state which individual complaints were substantiated, so all four are counted as substantiated here. The four complaints investigated alongside the October 2024 survey were each explicitly closed with no deficient practice.