Inspection Reports for Arbor House of Midwest City
9240 E Reno Ave, Midwest City, OK 73130, United States, OK
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Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 5
Aug 28, 2025
Visit Reason
Complaint investigations were conducted at Arbor House Assisted Living of Midwest City based on multiple allegations including failure to provide care according to physician orders, insufficient staffing, inadequate meal provision, medication administration issues, infection control lapses, and environmental concerns.
Findings
The investigations identified multiple deficiencies including lack of planned activities in the memory care unit, unclean kitchen floors and outdated ice machine filter, insufficient staffing to meet resident care and evacuation needs, delayed incident reporting, and medication administration failures including unavailable medications for a resident.
Complaint Details
Multiple complaints were investigated including failure to provide care as ordered, insufficient staffing, inadequate meals, medication administration errors, infection control issues, and environmental concerns. The investigations included observations, interviews, and record reviews. Deficiencies were cited as a result.
Severity Breakdown
SS=F: 3
SS=D: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Memory care unit residents did not receive activity programs to meet cognitive needs as described in the residency agreement for all 14 residents. | SS=F |
| Kitchen floors were not clean and free of debris; ice machine filter was not changed or cleaned by the date posted. | SS=D |
| Insufficient staffing to meet resident care needs and evacuation requirements, including frequent short staffing and delayed response to call lights. | SS=F |
| Incident report for a reportable event was not submitted within required timelines. | SS=D |
| Medications were not available for one resident during medication administration, resulting in missed doses of multiple prescribed medications. | SS=F |
Report Facts
Facility Census: 58
Call light response times over 15 minutes: 55
Staffing counts: 3
Staffing counts: 2
Memory care residents: 14
Medication doses missed: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clorissa Nubine | Enforcement Analyst | Signed enforcement and correspondence letters |
| Melinda Hawkins | Administrator | Facility administrator named in correspondence and plan of correction |
| CMA #1 | Staff member interviewed regarding staffing and medication availability | |
| CMA #2 | Staff member interviewed regarding staffing, medication ordering, and memory care activities | |
| CNA #1 | Staff member interviewed regarding staffing shortages and resident care | |
| CNA #3 | Staff member interviewed regarding memory care activities and staffing | |
| CMA #4 | Staff member observed during medication pass and interviewed about medication availability | |
| Residence Director | Interviewed regarding staffing and incident reporting | |
| Dietary Manager | Interviewed regarding kitchen conditions | |
| Culinary Services Coordinator | Interviewed regarding kitchen cleanliness and ice machine maintenance | |
| Maintenance Supervisor | Interviewed regarding ice machine filter maintenance | |
| Family Member #1 | Interviewed regarding call light response times | |
| Family Member #2 | Interviewed regarding staffing and resident care concerns | |
| Resident #1 | Interviewed regarding staff responsiveness |
Inspection Report
Renewal
Census: 57
Deficiencies: 2
Aug 15, 2024
Visit Reason
A relicensure survey was conducted from August 14, 2024 through August 15, 2024 to assess compliance with licensure requirements for Arbor House Assisted Living of Midwest City.
Findings
The facility was found deficient in staff qualifications, specifically failing to ensure one staff member was trained in first aid and cardiopulmonary resuscitation, and failed to provide abuse training within 90 days of employment for the same staff member. The deficiencies represented the potential for more than minimal harm.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure staff were trained in first aid and cardiopulmonary resuscitation for one of five staff reviewed. | SS=E |
| Failed to ensure employees received abuse training within 90 days of employment for one of five staff reviewed. | SS=E |
Report Facts
Facility Census: 57
Deficiencies cited: 2
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Feb 6, 2024
Visit Reason
This document serves as a license renewal for the assisted living center Arbor House Assisted Living of Midwest City, confirming the facility's authorization to operate.
Findings
The license renewal certifies that the facility meets the requirements set forth by the Oklahoma State Board of Health and is authorized to maintain operations with a maximum capacity of 65 beds.
Report Facts
Maximum licensed beds: 65
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 2
Nov 9, 2023
Visit Reason
A complaint survey was conducted due to allegations that the facility failed to ensure medications were administered according to physicians' orders and failed to ensure qualified staff to provide care for residents.
Findings
The investigation found deficiencies in medication administration, including failure to administer medications according to physician orders and failure to maintain accurate medication records. Additionally, the facility failed to ensure timely medication administration and failed to ensure qualified staff provided care to residents.
Complaint Details
The complaint investigation was initiated on 2023-11-08 based on allegations that the facility failed to administer medications according to physician orders and failed to ensure qualified staff to provide care. The investigation included observations, interviews, and record reviews. The deficiencies cited represented potential for more than minimal harm but no actual harm was identified. The facility was given an opportunity to correct the deficiencies.
Severity Breakdown
Level D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to administer medication according to physician's order for one resident. | Level D |
| Failed to maintain accurate written records of medications administered, including timely administration. | Level D |
Report Facts
Residents present: 53
Sample size: 10
Deficiencies cited: 2
Plan of correction completion date: Dec 16, 2023
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Feb 22, 2023
Visit Reason
This document is a license renewal issued to Arbor House of Midwest City, L.L.C. to conduct and maintain an Assisted Living Center.
Findings
The license certifies the facility's compliance with Oklahoma State Department of Health regulations for assisted living centers and authorizes operation with a maximum capacity of 65 beds.
Report Facts
Maximum licensed beds: 65
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Jan 7, 2021
Visit Reason
This document serves as a renewal license for the Arbor House Assisted Living of Midwest City, authorizing the facility to conduct and maintain an assisted living center.
Findings
The license is issued pursuant to Oklahoma statutes and state board of health regulations, valid from 11/12/2020 through 11/11/2021, confirming the facility meets renewal requirements.
Report Facts
Maximum licensed beds: 65
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 1
Jan 14, 2020
Visit Reason
A state licensure survey was conducted along with a complaint investigation triggered by an allegation that the center failed to ensure medications were properly administered.
Findings
Deficient practice was substantiated related to medication administration and accurate documentation of medication records for one resident. The facility was required to submit a plan of correction and later demonstrated correction of deficiencies.
Complaint Details
Allegation that the center failed to ensure medications were properly administered was substantiated (S). Investigation included review of medication administration records and staff interviews.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure staff administered medication according to physician's orders for one resident; medication administration records were inaccurate and did not reflect physician orders. | SS=E |
Report Facts
Resident census: 54
Investigation dates: Investigation conducted from 01/11/2020 through 01/14/2020
Survey dates: Re-licensure survey conducted 01/11/2020 through 01/14/2020
Plan of correction completion date: March 20, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Swaim | RN | Signed the investigative report dated 01/15/2020 |
| Andrea Pickett | Administrator | Named in correspondence regarding survey and plan of correction |
| Sue Davis | Enforcement Coordinator / Long Term Care Enforcement Reviewer | Signed enforcement and acceptance letters |
| Lisa Calvin | Enforcement Reviewer/Analyst | Signed off on offsite revisit letter dated 04/23/2021 |
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Nov 12, 2019
Visit Reason
The document is a license renewal issued to Arbor House Assisted Living of Midwest City to conduct and maintain an Assisted Living Center.
Findings
The document certifies the facility's license renewal with a maximum capacity of 65 beds, effective from 2019-11-12 to 2020-11-11.
Report Facts
Maximum licensed beds: 65
Inspection Report
Renewal
Census: 57
Deficiencies: 1
Feb 21, 2019
Visit Reason
A state licensure re-survey was conducted from February 20 through February 21, 2019, to assess compliance with assisted living regulations.
Findings
Deficiencies were found related to medication staffing, specifically the failure to arrange qualified staff to administer respiratory inhalers, resulting in potential for more than minimal harm.
Deficiencies (1)
| Description |
|---|
| Failure to arrange for qualified staff to administer respiratory inhalers, allowing Medication Administration Technicians (MATs) not qualified by regulation to administer inhalers. |
Report Facts
Resident census: 57
Survey dates: 2
Inspection Report
Renewal
Census: 57
Deficiencies: 1
Feb 21, 2019
Visit Reason
A re-licensure survey was conducted at the assisted living center to assess compliance with licensing requirements and identify any deficiencies.
Findings
The facility failed to arrange for qualified staff to administer respiratory inhalers for one sampled resident, allowing Medication Administration Technicians (MATs) to administer inhalers contrary to policy, resulting in potential for more than minimal harm.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to arrange for qualified staff to administer respiratory inhalers for one resident; Medication Administration Technicians administered inhalers without required certification. | SS=E |
Report Facts
Resident census: 57
Date survey completed: Feb 21, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Pickett | Administrator | Named as facility administrator in the survey report |
| Christi Dobbs | Administrator | Named as facility administrator in correspondence |
| Kay Determan | Long Term Care Enforcement Reviewer | Signed enforcement and acceptance letters |
| Sue Davis | Enforcement Coordinator | Signed letter regarding dispute resolution process |
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