Saddlebrook Senior Living

What state inspectors found

2 inspections in the last two years · 2 with no deficiencies cited · 2 with findings

Saddlebrook had eight complaint investigations folded into its November 2025 relicensure survey, plus one in October 2024. Several allegations were not borne out: inspectors reported no concerns about fall prevention, no issues on the communicable-disease and elevator/utility complaints, found the building clean with no medication errors cited, wrote no abuse deficiency after investigating two abuse complaints, described staff interactions with residents as all positive, and heard from residents that they had no complaints about the taste or variety of the food. But this is not a clean record, and some of the complaints were borne out. The November 2025 survey cited the community at the widest severity level (F) for insufficient staffing, based on a call-light report showing 81 responses over 15 minutes, schedules with as few as two staff overnight covering both memory care and assisted living, and one resident who said the call button was sometimes not answered for hours and medications were not always given on time. The same survey cited unlabeled, undated and expired food in all three refrigerators, including cream and milk past their manufacturer expiration dates, and found the posted state license had expired on 09/11/2025 under a court-appointed receivership; the license problem was still uncorrected at a March 2026 revisit, the first plan of correction was rejected, and it was not resolved until April 2026. In October 2024 the state cited the community after a resident walked away from a group outing to the fair, was missing about two hours and was found by police, and the facility did not report the resident missing to OSDH. Every state verification of correction in this record was an offsite paper review rather than a return visit, so no inspector has documented on site that staffing or call-light response actually improved. If you tour here, ask directly about evening, night and weekend staffing, typical call-light response times, and what the outing and missing-resident procedures are now.

• State inspectors looked specifically at fall prevention after a complaint, and after touring the building, watching care and talking with residents and staff, they found nothing of concern. 11-14-2025
• A complaint claimed the community had failed to identify and stop the spread of a contagious illness. Inspectors observed residents for skin or other signs of irritation and identified no issues, and asked residents and staff about infection control and mitigation protocols. No infection-control deficiency was cited. 11-14-2025
• After a complaint about the building itself, inspectors confirmed the elevators were working and that the community had kept up with monthly inspections and repairs, and found no problems with utilities or comfort. 11-14-2025
• A separate complaint alleged a dirty building and medication problems. Inspectors found the community clean with no environmental deficiencies observed, and their record review and interviews turned up no medication errors, with treatment and physician orders current. 11-14-2025

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