Magnolia Assisted Living Of Edmond

What the state also noted

• — Deficiencies were cited on all three surveys; none of the three surveys was deficiency-free.
• — Substantiated verbal abuse of two residents with dementia by a staff member was cited in the October 2024 survey under the abuse rule, which the state scored as actual harm affecting a pattern of residents. The incident file also documented that the same aide had been administering sleeping medication two to three hours earlier than scheduled, and the DON's 09/26/24 investigation note recorded that one resident 'was often very scared and cries while being changed' and would say 'please don't do this, don't hurt me.' The second affected resident died on 10/10/24 and could not be interviewed by the surveyor.
• — OSDH rejected the facility's first plan of correction for the October 2024 abuse tag on 11/04/2024 because the proposed correction date was more than 60 days out; an amended plan was accepted 11/08/2024.
• — The March 2025 complaint survey cited the center again for failing to ensure residents were free from abuse — scored as actual harm to one resident — and for failing to report the allegation to the Department of Human Services, local law enforcement, and the Nurse Aide Registry (those reporting citations were reduced on administrative review 05/06/2025 from actual harm to one resident down to an isolated finding touching one or a few residents).
• — In that March 2025 survey inspectors found the center had not provided any abuse in-service training to staff following the January 2025 abuse allegation; a staff member confirmed 'No, we didn't,' and the owner had no documentation. This is the opposite of the retraining the center did after the September 2024 incident.
• — The center's own 'Final Incident' form from January 2025 concluded 'no findings of abuse,' while the state cited the center for failing to keep residents free from abuse based on the same events.
• — The bundle contains no revisit or clearance document for the March 2025 complaint survey — only plan-of-correction acceptance letters stating a revisit would be conducted. There is no evidence in the record that the state verified the abuse-related deficiencies were corrected.
• — The December 2025 survey cited four violations of the dementia special care disclosure rules for failing to submit, provide, post, or give the ombudsman the Alzheimer's/dementia special care disclosure form while the facility's website and brochure marketed it as memory care. OSDH's cover letter states these deficiencies 'represented the potential for more than minimal harm.'
• — The facility told OSDH in its December 2025 plan of correction that the 'Community is licensed as Assisted Living only' and corrected the citations by removing memory care from its website and marketing material effective 12/18/25. Families seeking a licensed memory care setting should verify current licensure directly with OSDH.
• — The October 2024 survey also cited missing CPR and first-aid training documentation for four of five staff reviewed — scored as a pattern rather than an isolated lapse — and an expired food-handler certification for a cook.
• — The count of substantiated complaints is inferred from which complaint investigations resulted in citations; OSDH did not label each complaint 'substantiated' or 'unsubstantiated' in these documents.
• — The facility operated as Oxford Springs Edmond LLC at the October 2024 survey and as Magnolia Assisted Living of Edmond in 2025, with different administrators; ownership or management appears to have changed during this period.