Inspection Reports for
Bradbury Commons
1601 ACADEMY ROAD, PONCA CITY, OK, 74604
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
59% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
46% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Census: 44
Deficiencies: 2
Date: May 8, 2025
Visit Reason
A relicensure survey was conducted from 05/06/25 through 05/08/25, including complaint investigations (#OK00062080, OK00062940, OK00064370, and #OK00078454) conducted in conjunction with the survey.
Complaint Details
Four complaint investigations were conducted related to failure to provide required disclosures, clean and safe environment, protection of resident rights and freedom from abuse, and adequate staffing and emergency evacuation. Investigations included observations, interviews, and record reviews. Deficiencies were cited as a result.
Findings
Deficiencies were cited related to food storage labeling and staff qualifications for first aid and CPR training. The facility failed to label opened food items with open and use-by dates in the kitchen freezer and failed to ensure two direct care staff had required first aid and CPR training.
Deficiencies (2)
Failed to ensure opened food items were labeled with the open and use by date in the kitchen for 1 of 2 freezers observed.
Failed to ensure direct care staff had first aid and cardiopulmonary resuscitation training for 2 of 5 sampled personnel files reviewed.
Report Facts
Facility Census: 44
Number of food items unlabeled: 6
Number of sampled personnel files missing training: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam C. Young | Executive Director | Signed plan of correction and involved in staff training compliance |
Inspection Report
Deficiencies: 0
Date: Jul 3, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to a facility survey completed on July 3, 2024.
Findings
No health deficiencies were found during the survey.
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 16, 2023
Visit Reason
A relicensure survey was conducted from June 15, 2023 through June 16, 2023 to assess compliance for renewal of the facility's license.
Findings
No deficiencies were cited during the inspection.
Inspection Report
Deficiencies: 0
Date: May 25, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for a nursing home survey conducted by the Centers for Medicare & Medicaid Services.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 54
Deficiencies: 3
Date: Mar 21, 2023
Visit Reason
The inspection was conducted to assess compliance with care plan implementation, activities of daily living (ADL) assistance, and medication administration safety in the nursing home.
Findings
The facility failed to implement care plans for toileting and transfer assistance for some residents, delayed assistance with meals, and administered medications contrary to hospital discharge orders, resulting in an immediate jeopardy situation that was later resolved.
Deficiencies (3)
F 0656: The facility failed to ensure the care plan was implemented for toileting and transfer assistance for one resident requiring extensive assistance.
F 0677: The facility failed to provide timely assistance with activities of daily living, including delayed meal service and failure to respond to call lights for toileting for two residents.
F 0760: The facility failed to ensure medication administration followed discharge instructions, resulting in administration of Plavix and Aspirin to a resident with a subdural hematoma, creating an immediate jeopardy to resident health or safety.
Report Facts
Residents requiring toileting assistance: 46
Residents requiring assistance with eating: 47
Resident census: 54
Times Plavix and Aspirin administered without physician order: 8
Minutes delay in serving breakfast trays: 48
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 2
Date: Mar 3, 2023
Visit Reason
The inspection was conducted due to complaints regarding insufficient nursing staff to meet residents' needs and failure to have a licensed nurse in charge on certain shifts, as well as concerns about medication administration.
Complaint Details
The investigation was complaint-driven based on reports of insufficient nursing staff and medication administration issues. The complaint was substantiated with findings of staffing shortages and missed medication doses.
Findings
The facility failed to provide sufficient nursing staff and licensed nurse coverage on multiple shifts in January and February 2023, resulting in delayed or missed care and medication administration for sampled residents. Medication administration errors were documented for three residents on 01/09/23, with medications not given as ordered.
Deficiencies (2)
F 0725: The facility failed to provide enough nursing staff daily to meet residents' needs and did not have a licensed nurse in charge on six of 177 shifts reviewed in January and February 2023.
F 0755: The facility failed to ensure medications were administered according to physician's orders for three sampled residents, with multiple medications not given on 01/09/23.
Report Facts
Residents present: 56
Shifts without licensed nurse coverage: 6
Residents requiring assistance: 40
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Mar 3, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Bradbury Commons nursing home.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Renewal
Capacity: 163
Deficiencies: 0
Date: Sep 30, 2022
Visit Reason
This document is a renewal license issued to Via Christi Village Ponca City, Inc. to conduct and maintain a Continuum of Care Facility.
Findings
The license was issued pursuant to Oklahoma statutes and state board of health regulations, authorizing the facility to operate with a maximum capacity of 163 beds.
Report Facts
Maximum licensed beds: 163
Inspection Report
Renewal
Capacity: 163
Deficiencies: 0
Date: Aug 5, 2021
Visit Reason
This document is a renewal license issued to Via Christi Village Ponca City, Inc. to conduct and maintain a Continuum of Care Facility, including nursing and assisted living beds.
Findings
The document certifies the facility's license renewal and specifies the maximum licensed capacity for nursing and assisted living beds. No inspection findings or deficiencies are noted.
Report Facts
Maximum Nursing Facility Beds: 68
Maximum Assisted Living Beds: 95
Inspection Report
Renewal
Capacity: 163
Deficiencies: 0
Date: May 6, 2021
Visit Reason
This document is a facility license issued to Via Christi Village Ponca City, Inc. for conducting and maintaining a Continuum of Care Facility, indicating a renewal or amendment of the facility license.
Findings
The license certifies the facility is authorized to operate with a maximum of 68 nursing facility beds and 95 assisted living beds. No deficiencies or findings are stated in this document.
Report Facts
Nursing Facility Beds: 68
Assisted Living Beds: 95
Total Capacity: 163
Inspection Report
Renewal
Capacity: 163
Deficiencies: 0
Date: Dec 31, 2020
Visit Reason
The document is a license renewal certificate for Via Christi Village Ponca City, Inc., authorizing the facility to conduct and maintain a Continuum of Care Facility.
Findings
The document certifies the facility's license renewal with a maximum capacity of 68 nursing facility beds and 95 assisted living beds. No deficiencies or inspection findings are noted in this document.
Report Facts
Maximum Nursing Facility Beds: 68
Maximum Assisted Living Beds: 95
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 0
Date: Dec 31, 2019
Visit Reason
The visit was conducted as a complaint investigation based on complaint #OK00054811 regarding medication administration policies and procedures at the assisted living facility.
Complaint Details
The allegation that the center failed to follow medication administration policies and procedures was unsubstantiated (US). The investigation included review of a medication error involving an overnight hospital stay and found no deficient practice. No further action was required.
Findings
The investigation found the allegation of failure to follow medication administration policies to be unsubstantiated. No deficiencies were cited during the abbreviated survey conducted from December 30 through December 31, 2019.
Report Facts
Census: 47
Investigation Dates: Investigation conducted from 12/30/19 through 12/31/19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Stagner | Long Term Care Enforcement Reviewer | Author of the cover letter for the complaint investigation report |
| Julie Edmiaston | RN, BSN | Signed the investigative report and completed the report on 01/02/2020 |
| Will Otjeh | Director Of Nursing | Named as recipient of the report |
Inspection Report
Renewal
Capacity: 163
Deficiencies: 0
Date: Aug 1, 2019
Visit Reason
The document is a renewal license certifying that Via Christi Village Ponca City, Inc. is licensed to conduct and maintain a Continuum of Care Facility.
Findings
The license was issued pursuant to Oklahoma statutes and state board of health regulations, authorizing the facility to operate with specified bed capacities.
Report Facts
Maximum Nursing Facility Beds: 68
Maximum Assisted Living Beds: 95
Maximum Adult Day Care Participants: 0
Maximum Specialized Facility for Alzheimer's Residents Beds: 0
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 7
Date: Jul 11, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including inaccurate documentation of residents' code status, failure to complete discharge summaries, inadequate respiratory care, lack of timely medication availability, failure to implement gradual dose reductions for psychotropic medications, and failure to follow infection control precautions.
Deficiencies (7)
F 0578: The facility failed to ensure residents' code status was accurately identified for three sampled residents, with inconsistent documentation and signage.
F 0622: The facility failed to complete a discharge summary upon transfer to the hospital for one sampled resident.
F 0661: The facility failed to complete a discharge summary for one sampled resident, with the form incomplete.
F 0695: The facility failed to provide necessary respiratory care to one resident, including failure to administer ordered nebulizer treatments, resulting in hospitalization for severe respiratory distress.
F 0755: The facility failed to ensure pain medication was available as ordered for one resident, resulting in a 53-hour gap without prescribed pain medication.
F 0758: The facility failed to ensure timely physician response to gradual dose reduction recommendations for psychotropic medications for two residents.
F 0880: The facility failed to ensure contact isolation precautions were followed for one resident, including absence of biohazard bags for disposal of contaminated gowns and gloves.
Report Facts
Residents affected: 54
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Medication doses received: 60
Medication doses administered: 49
Medication doses administered: 11
Pain medication gap hours: 53
Residents receiving respiratory treatments: 16
Vital signs: 143
Vital signs: 32
Vital signs: 91
Inspection Report
Renewal
Capacity: 163
Deficiencies: 0
Date: Apr 9, 2019
Visit Reason
This document is a renewal license issued to Via Christi Village Ponca City, Inc. to conduct and maintain a Continuum of Care Facility.
Findings
The license certifies the facility's capacity and compliance with state regulations for renewal purposes.
Report Facts
Maximum Nursing Facility Beds: 68
Maximum Assisted Living Beds: 95
Maximum Adult Day Care Participants: 0
Maximum Specialized Facility for Alzheimer's Residents Beds: 0
Inspection Report
Renewal
Census: 44
Deficiencies: 0
Date: Apr 3, 2019
Visit Reason
A re-licensure survey was conducted at the assisted living center on April 3, 2019.
Findings
No deficiencies were cited during the inspection. The resident census was 44 at the time of the survey.
Report Facts
Resident census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed the inspection report |
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