Morada Lake Hefner

What state inspectors found

2 inspections in the last two years · 2 with findings

Morada Lake Hefner was inspected twice in the past two years and both inspections cited deficiencies, so this is not a clean record. The most serious was an Immediate Jeopardy finding in May 2025 — the state's most serious level, cited as a pattern affecting several residents — after a resident with dementia and documented exit-seeking behavior walked out and was found by police about two miles from the building. Staff gave conflicting accounts of how often this resident had gotten out - one medication aide said 'Multiple times, 5 for sure,' the housekeeper and maintenance director described repeated exits onto the porch and property, while the director of nursing called it the first elopement since she started in February. The center put a 24-hour sitter in place, changed door codes, retrained staff and re-assessed every resident's elopement risk; the state verified those steps and lifted the immediate jeopardy on 05/19/25, but the deficiency itself remained cited at a pattern level and was only cleared at a 06/19/25 revisit. Families should also know the maintenance director told the surveyor the resident knew to lean on the exit doors to make them release, and that the doors open if the exit bar is held 15 seconds. A separate complaint filed at the same time - an unreported injury, a family not notified of a change in condition, an inappropriate admission, and an improper discharge - was investigated and the center was found in compliance on all four allegations. An earlier March 2025 licensing survey found missing admission and 14-day assessments and an unlocked medication container; those were corrected and confirmed by the state in May 2025.

• A complaint filed in May 2025 raised four allegations against this center - that an injury of unknown origin was not reported to the resident's power of attorney, that a POA was not notified of a change in condition, that a resident was admitted above the level of care the center could provide, and that residents were involuntarily discharged without cause. After observations, record review and interviews with residents and families, the state found the center in compliance on all four, and no deficiency was cited from that complaint. 05-19-2025
• During that same investigation the surveyor toured the building and looked specifically for signs of neglect or residents living there who needed a higher level of care, and did not cite the center for either. 05-19-2025
• After the state declared an immediate jeopardy situation over a resident who walked out of the building, the center responded the same day with a plan of removal the state accepted - a 24-hour one-on-one sitter, changed door codes, staff in-service training on elopement, and an elopement-risk re-assessment for every resident. 05-19-2025
• The state verified through staff and family interviews and center documents that each of those steps had actually been carried out, and lifted the immediate jeopardy three days later. The underlying deficiency citation itself remained in place until a later revisit. 05-19-2025

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