Luxe Life Norman AL, LLC

What the state also noted

• — Deficiencies WERE cited at two of the five dated events. April 2025 complaint investigation (#OK00080905): the center failed to keep a minimum of one direct care staff member on duty and awake at all times in the secured memory care unit. The surveyor observed no staff in the memory care unit at 12:13 a.m., 12:21 a.m. and 12:30 a.m. on 04/20/25, with staff returning at 12:36 a.m. CNA #2, asked how often they leave the unit unstaffed to help in assisted living, said 'Quite often. They had to do it last weekend I know.' LPN #1 said 'Two is the bare minimum' and 'I told them we need more staff.' A 'Labor Level Punch Detail' showed a single staff member in the whole building from 11:00 p.m. to midnight on 04/05/25, 04/06/25 and 04/13/25. The state classified the problem as widespread, reaching across the community, and the facility's plan of correction states all 16 memory care residents had the potential to be affected. The same survey also cited no admission assessment for one resident (admitted 09/05/24 with Lewy body dementia) and no annual comprehensive assessments for two residents — Resident #4 missing 2023, 2024 and 2025, and Resident #5 missing 2023 and 2024.
• — October 2025 relicensure survey with complaints: two of five sampled personnel files (a CMA hired 02/25/23 and a CNA hired 02/10/16) had no documentation of first aid and CPR training, and the executive director 'reported they did not know all direct care staff had to have training over first aid and CPR.' Separately, CMA #1 documented every-two-hour checks on memory care Resident #11 from midnight to 6:00 a.m. on 05/18/25, then told the surveyor they had left memory care at midnight and 'should not have signed off on the MAR because they did not visualize Resident #11 themselves.'
• — Neither round of citations was verified by an on-site return. Both revisits — 05/27/2025 and 11/10/2025 — were offsite/paper reviews of the facility's own plan of correction. Overnight memory care staffing was never re-observed by a surveyor.
• — Of the five dated events in the 24-month window, four were on-site (07/29/2024, 10/22/2024, 04/20/2025, 10/09/2025) and one (05/27/2025) was an offsite paper revisit. Two of the on-site events resulted in citations; two closed with no deficiencies cited.
• — Six complaint investigations appear in the bundle. Two allegations were effectively borne out by citations (April 2025 inadequate staffing; October 2025 inaccurate clinical records). The remaining allegations — abuse, illicit behavior by staff, inadequate hydration, care not provided per contract, injuries of unknown origin not reported — produced no citations. OSDH reports in this bundle do not use explicit 'substantiated'/'unsubstantiated' language, so these conclusions are inferred from what was and was not cited.
• — The July 2024 investigative report contains an internal date inconsistency — it states the investigation was 'initiated 05/28/2023 at 11:15 a.m.' while the investigation dates are 07/28/24 through 07/29/24. This appears to be a template or OCR error and does not change the outcome (no deficiencies cited).
• — No survey in this bundle addresses meals, call lights, medication administration errors, water temperatures or infection control, so nothing can be said about those areas either way.