Inspection Reports for Brookdale Oklahoma City Southwest
10001 South May Avenue, Oklahoma City, OK, OK
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 2
Oct 23, 2025
Visit Reason
A complaint investigation was conducted due to allegations that the facility failed to ensure residents were free from abuse.
Findings
The investigation found that the facility failed to follow their abuse, neglect, and exploitation policy by not notifying the physician and not timely contacting families/responsible parties for 3 of 4 sampled residents. Additionally, the facility failed to report allegations of abuse to the Oklahoma State Department of Health within one business day as required.
Complaint Details
The complaint investigation was initiated on 2025-10-22 based on allegations of abuse by a certified medication aide (CMA #1) towards residents. The abuse was substantiated through eyewitness accounts. The facility delayed notifying families and did not notify physicians. The abuse incident occurred on 10/04-10/05/2025 but was not reported to the state until mid-week of 10/09/2025, violating reporting timelines.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to notify physician and timely contact families/responsible parties regarding abuse allegations for 3 of 4 sampled residents. | SS=D |
| Failed to report allegations of abuse within one business day to the Oklahoma State Department of Health for 3 of 4 sampled residents. | SS=D |
Report Facts
Facility census: 29
Number of residents reviewed for abuse: 4
Number of residents with notification failures: 3
Date of incident: Oct 4, 2025
Date of report completion: Oct 24, 2025
Date of revisit: Dec 12, 2025
Date of correction: Dec 8, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emily Cook | Administrator | Named in plan of correction and correspondence |
| Lisa Calvin | Enforcement Analyst II | Author of enforcement correspondence and reports |
Inspection Report
Renewal
Census: 31
Deficiencies: 0
Oct 9, 2025
Visit Reason
A relicensure survey was conducted from October 8, 2025 through October 9, 2025 to assess compliance for renewal of the facility license.
Findings
No deficiencies were cited during the relicensure survey conducted at the Assisted Living Center.
Report Facts
Facility census: 31
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Jul 9, 2025
Visit Reason
The document is a renewal license issued to KGC Operator, Inc. for the assisted living center Brookdale Oklahoma City Southwest, certifying the facility to operate for another licensing period.
Findings
The document certifies that the facility is licensed to conduct and maintain an assisted living center with a maximum capacity of 40 beds. It confirms compliance with state statutes and regulations for licensure renewal.
Report Facts
Maximum licensed capacity: 40
Inspection Report
Renewal
Census: 32
Deficiencies: 0
May 2, 2024
Visit Reason
A relicensure survey was conducted from May 1, 2024 through May 2, 2024 to assess compliance for renewal of the facility license.
Findings
No deficiencies were cited during the relicensure survey.
Report Facts
Facility Census: 32
Inspection Report
Renewal
Deficiencies: 0
Apr 12, 2023
Visit Reason
A relicensure survey was conducted from April 11, 2023 through April 12, 2023 to assess compliance for license renewal of the assisted living center.
Findings
No deficiencies were cited during the relicensure survey conducted at the facility.
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Jun 17, 2022
Visit Reason
This document is a renewal license issued to KGC Operator, Inc. to conduct and maintain an Assisted Living Center named Brookdale Oklahoma City Southwest.
Findings
The license certifies that the facility meets the requirements to operate as an Assisted Living Center with a maximum capacity of 40 beds. The license is effective from 07/09/2022 through 07/08/2025.
Report Facts
Maximum licensed beds: 40
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 10, 2022
Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation that the facility failed to protect residents from sexual abuse.
Findings
The investigation found no deficient practice related to the allegation. The allegation was unsubstantiated, with no evidence of residents displaying inappropriate sexual behaviors and staff trained on abuse prevention.
Complaint Details
The allegation that the facility failed to protect residents from sexual abuse was unsubstantiated (US). No deficient practice was cited and no further action was required.
Report Facts
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Long Term Care Enforcement Reviewer/Analyst | Author of the initial complaint investigation report |
| Rae Belt | RN, CHFS | Completed the investigative report |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 2
Aug 10, 2021
Visit Reason
A complaint investigation was conducted at Brookdale Oklahoma City Southwest Assisted Living Center based on allegations of failure to provide a safe environment, adequate medical care, and adequate staff supervision.
Findings
The investigation substantiated deficient practices related to fall prevention interventions and reasonable accommodations for residents, including failure to care plan for fall prevention and failure to ensure fall mats were in place. The deficiencies had the potential for more than minimal harm but no actual harm was identified.
Complaint Details
The complaint alleged the center failed to provide a safe accident-free environment, adequate and appropriate medical care, and adequate staff supervision. The allegation was substantiated based on evidence obtained during the investigation.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to care plan fall prevention interventions for one resident (#3) who had multiple falls including head injuries. | SS=D |
| Failure to ensure a fall mat was in place for one resident (#4) after a fall incident. | SS=D |
Report Facts
Investigation Dates: 2021-08-06 to 2021-08-10
Number of residents sampled: 4
Number of falls for resident #3: 4
Plan of Correction completion date: Aug 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emily Cook | Administrator | Named in plan of correction and correspondence |
| Lisa Calvin | Enforcement Reviewer/Analyst | Signed enforcement correspondence |
| Mary Cooper | RN/CHFS | Signed complaint investigation report |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Jun 28, 2021
Visit Reason
This document is a renewal license issued to KGC Operator, Inc. for the operation of an Assisted Living Center named Brookdale Oklahoma City Southwest.
Findings
The document certifies that the facility is licensed to conduct and maintain an Assisted Living Center with a maximum capacity of 40 beds. No deficiencies or findings are noted in this license document.
Report Facts
Maximum licensed beds: 40
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Jun 12, 2020
Visit Reason
This document is a license renewal for an assisted living center, indicating the facility is authorized to continue operations under state regulations.
Findings
The document certifies that KGC Operator, Inc. is licensed to conduct and maintain an Assisted Living Center with a maximum capacity of 40 beds. It serves as official confirmation of license renewal.
Report Facts
Maximum licensed beds: 40
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 0
Aug 21, 2019
Visit Reason
The inspection was conducted as a complaint investigation at the assisted living facility Brookdale Oklahoma City Southwest on August 21, 2019, to investigate allegations related to abuse policy and provision of care and services.
Findings
The investigation found no deficiencies or substantiated allegations. Both allegations regarding failure to implement abuse policy and failure to provide care and services were unsubstantiated after review of residents, staff, and records.
Complaint Details
Two allegations were investigated: 1) failure to have and/or implement abuse policy, and 2) failure to provide care and services according to residents' contracts. Both allegations were unsubstantiated (US).
Report Facts
Census: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Edmiaston | RN, BSN | Signed the investigative report dated 08/26/2019 |
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed the cover letter for the complaint investigation report |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Jul 9, 2019
Visit Reason
The document is a license renewal issued to KGC Operator, Inc. for the operation of an Assisted Living Center named Brookdale Oklahoma City Southwest.
Findings
This document certifies the renewal of the facility's license to operate as an Assisted Living Center with a maximum capacity of 40 beds. No deficiencies or findings are stated.
Report Facts
Maximum licensed beds: 40
Inspection Report
Renewal
Census: 30
Deficiencies: 0
May 14, 2019
Visit Reason
A re-licensure survey was conducted at the Assisted Living Center on May 14, 2019.
Findings
No deficiencies were cited during the inspection.
Report Facts
Census: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed the inspection report |
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