Legend At Rivendell

What state inspectors found

4 inspections in the last two years · 1 with no deficiencies cited · 3 with findings

Legend at Rivendell has had four OSDH surveys in the past two years, and three of them resulted in citations. Only one - an April 2025 complaint visit - closed with no deficiencies cited; on that visit the inspector found the building clean and odor-free, residents well groomed and in clean clothing, and described all staff-resident interactions as positive. Entrance tours in March 2025 and a January 2026 investigation were also favorable on the everyday basics: adequate staffing on the memory care units, no odors or hazards, well-groomed residents, and meals that surveyors sampled and found palatable, nutritious and served at the right temperature. Two of the three March 2025 complaints closed without a related citation. But the record is not clean. The most recent survey, February 2026, cited the center for failing to keep a resident free from abuse: an incident report described video of an aide pulling a memory care resident backwards across the floor by the forearms, about 8 feet, into their room. The facility did not catch this itself - a camera monitoring service paid for by the resident's family reported it a week after it happened, and the aide had not filed the required incident report. In January 2026, seven complaints were investigated together and produced two citations: a medication given without a physician's order, and a failure to report an alleged neglect incident to the Oklahoma Nurse Aide Registry - the underlying incident being an aide leaving a resident documented as blind unattended in the bathroom and then leaving the facility without finishing that resident's care. The March 2025 relicensure survey cited four separate tags, including a medication withheld against physician orders, missed hand hygiene during a medication pass, an abuse incident not reported to law enforcement or DHS, and medications left unsecured. The center filed correction plans in each case and the state found substantial compliance on follow-up, though every one of those follow-ups was an offsite paper review rather than a return inspection. Families should ask the administrator directly about the February 2026 abuse finding, what changed in fall-response and incident-reporting practice, and how the center identifies problems without a family's private camera.

• During an April 2025 complaint visit, the inspector found the building clean and free of odors, and noted that residents were well groomed and in clean clothing. No deficiencies were cited from that visit. 04-14-2025
• In that same April 2025 visit, the inspector watched staff and residents together and described every interaction as positive, and concluded the center had acted appropriately on the concern that prompted the visit. 04-14-2025
• During the March 2025 licensure survey, the surveyor's entrance tour found enough staff working on every memory care unit, no odors or hazards, and residents who were well groomed and showed no signs of distress. 03-12-2025
• A March 2025 complaint alleging the center did not supervise residents well enough to prevent resident-to-resident altercations produced no citation. The surveyor reviewed the staffing schedule for the date in question and found staffing had been adequate, that interventions were put in place afterward, and that no other incidents had been reported. 03-12-2025

Summarized from Oklahoma State Department of Health survey documents. Inspections are a snapshot of specific days and sample a small number of residents.