Inspection Reports for Brookdale Stillwater
1616 East McElroy Road, Stillwater, OK, OK
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Inspection Report
Renewal
Capacity: 39
Deficiencies: 0
Apr 5, 2025
Visit Reason
This document serves as a license renewal for Brookdale Stillwater Assisted Living Center, authorizing the facility to continue operations under state regulations.
Findings
The license renewal certifies that the facility meets the provisions of the Oklahoma Statutes and State Board of Health rules and regulations for assisted living centers.
Report Facts
Maximum licensed beds: 39
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 1
Mar 19, 2025
Visit Reason
A licensure survey with complaint investigations was conducted due to multiple allegations including failure to provide care according to physician orders, inadequate staffing, failure to serve palatable food, failure to notify representatives of condition changes, ineffective pest control, misappropriation of property, and medication record inaccuracies.
Findings
The investigation found deficiencies related to medication administration, staffing, environmental concerns, and resident property misappropriation. Specifically, a medication inventory error was identified for a schedule IV medication. The facility was found to have multiple complaint-related deficiencies.
Complaint Details
The complaint investigation included allegations of failure to provide care according to physician orders, inadequate staffing and call light response, serving unpalatable food, failure to notify residents' representatives of condition changes, failure to maintain a clean and pest-free environment, misappropriation of resident property, and inaccurate medication records. The investigation was unannounced and included observations, interviews, and record reviews.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure an accurate medication inventory for a schedule IV medication prescribed for a resident. | SS=E |
Report Facts
Facility Census: 22
Residents sampled for medication administration: 5
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Signed enforcement letters related to the inspection and plan of correction acceptance |
| Kristel Brewer | Administrator | Facility administrator named in correspondence and plan of correction |
| Clorissa Nubine | Enforcement Analyst | Signed enforcement correspondence related to complaint process |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 15, 2024
Visit Reason
Complaint investigations were conducted at the Brookdale Stillwater Assisted Living facility based on allegations including failure to implement pharmacy services properly, failure to ensure competent staff, failure to provide 30-day discharge notices, failure to notify residents' representatives of a fall, and failure to administer medications according to physician orders.
Findings
Multiple complaint investigations were conducted through unannounced on-site visits involving observations, interviews, and record reviews. No deficiencies were cited in any of the investigations.
Complaint Details
The investigations addressed allegations that the facility failed to implement pharmacy services to ensure proper medication administration, failed to ensure competent staff, failed to provide 30-day discharge notices, failed to notify residents' representatives of a fall, and failed to administer medications according to physician orders and monitor side effects. All investigations found no deficiencies.
Report Facts
Complaint investigations conducted: 3
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Named as the report author in the complaint investigation report |
| Kari Willard | Administrator/Executive Director II | Facility administrator addressed in the report |
Inspection Report
Complaint Investigation
Census: 20
Deficiencies: 3
Oct 10, 2023
Visit Reason
A complaint investigation was conducted in conjunction with a state licensure survey due to allegations that the facility failed to ensure supervision to prevent accidents and failed to prevent the development of new or worsening pressure wounds.
Findings
The investigation found deficiencies including failure to complete night checks for a resident who fell and was not found for several hours, unsafe use of a mechanical lift, inadequate sanitation of resident care equipment, improper catheter care, and failure to report an allegation of neglect to the Nurse Aide Registry. The facility terminated the responsible employee and implemented corrective actions.
Complaint Details
The complaint investigation was initiated due to allegations that the facility failed to provide supervision to prevent accidents and failed to prevent pressure wounds. The investigation included interviews, observations, and record reviews. It was substantiated that neglect occurred when a resident was found on the bathroom floor after being unattended for several hours overnight.
Severity Breakdown
Level D: 2
Level E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure night checks were completed for one resident who fell and was not found for several hours. | Level D |
| Failure to provide adequate medical care including safe use of mechanical lift, sanitation of blood pressure equipment, and catheter care. | Level E |
| Failure to report an allegation of neglect involving a nurse aide to the Nurse Aide Registry. | Level D |
Report Facts
Residents: 20
Falls for Resident #2: 4
Date of inspection: Oct 10, 2023
Date of revisit: Jan 23, 2024
Date of correction: Jan 8, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #4 | Certified Nurse Aide | Named in neglect allegation for failure to perform night checks and was terminated |
| CNA #1 | Certified Nurse Aide | Observed providing care and involved in catheter care deficiency |
| CNA #2 | Certified Nurse Aide | Observed providing care during mechanical lift use and catheter care |
| MAT #1 | Medication Administration Technician | Observed failing to disinfect blood pressure cuff between residents |
| Amanda Rains | Administrator | Facility administrator during inspection and investigation |
| Lisa Calvin | Enforcement Analyst II | Signed enforcement and follow-up letters |
Inspection Report
Complaint Investigation
Deficiencies: 1
May 10, 2022
Visit Reason
A complaint investigation was conducted due to an allegation that the center failed to ensure medications were administered as ordered by the physician.
Findings
The investigation substantiated a deficient practice related to medication administration errors for one resident. The facility failed to administer Warfarin according to physician orders, resulting in missed and incorrect doses. The facility submitted a plan of correction and was found to be in substantial compliance upon revisit.
Complaint Details
The complaint alleged that the center failed to ensure medications were administered as ordered by the physician. The allegation was substantiated.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure medication was administered according to physician orders for one resident, including missed and incorrect doses of Warfarin. | SS=D |
Report Facts
Sample size: 3
Investigation dates: 05/09/2022 and 05/10/2022
Plan of correction completion date: July 1, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Swaim | RN | Signed the investigative report |
| Amanda Rains | Administrator | Named in plan of correction and correspondence |
| Lisa Calvin | Enforcement Analyst | Signed the letter confirming correction of deficiencies |
| Tempal Killman | Administrative Assistant | Signed letter accepting plan of correction |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 15, 2022
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the facility failed to ensure medications were administered as ordered and failed to provide care and services according to residents' contracts.
Findings
The investigation found no deficiencies; both allegations were unsubstantiated. Medication administration was observed to be correct, and the facility was clean with no complaints from residents regarding care or cleanliness.
Complaint Details
Two allegations were investigated: 1) failure to ensure medications were administered as ordered, and 2) failure to provide care and services according to residents' contracts. Both allegations were unsubstantiated (US).
Report Facts
Sample size: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Billie Seeman | RN, CHFS | Signed the report as the investigator |
| Lisa Calvin | Long Term Care Enforcement Reviewer | Report author |
Inspection Report
Renewal
Capacity: 39
Deficiencies: 0
Mar 9, 2022
Visit Reason
This document is a license renewal issued to Brookdale Senior Living Communities, Inc. for their Assisted Living Center, Brookdale Stillwater.
Findings
The license certifies that the facility is authorized to conduct and maintain an Assisted Living Center with a maximum capacity of 39 beds. The license is effective from 2022-04-05 through 2025-04-04.
Report Facts
Maximum licensed beds: 39
Inspection Report
Renewal
Capacity: 39
Deficiencies: 0
Mar 22, 2021
Visit Reason
This document is a license renewal issued to Brookdale Stillwater, certifying the facility to conduct and maintain an Assisted Living Center.
Findings
The document certifies that Brookdale Stillwater is licensed as an Assisted Living Center with a maximum capacity of 39 beds, effective from April 5, 2021, through April 4, 2022.
Report Facts
Maximum licensed beds: 39
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Sep 23, 2020
Visit Reason
A Covid-19 focused survey was conducted to determine if the facility was in compliance with infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The facility failed to report a positive COVID-19 test result of an employee to the Oklahoma State Department of Health, Acute Disease Services, and the local county health department in a timely manner, representing a deficiency with potential for more than minimal harm.
Complaint Details
The visit was complaint-related due to failure to report a positive COVID-19 test result for an employee. The deficiency was substantiated based on interviews and record review.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report to the Oklahoma State Department of Health, Acute Disease Services, and the local county health department a positive COVID-19 test result for an employee in a timely manner. | SS=E |
Report Facts
Total residents: 33
Total staff members: 29
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst/Reviewer | Signed enforcement letters and reports |
| Katie Stagner | Long Term Care Enforcement Reviewer | Signed acceptance letter for plan of correction |
Notice
Capacity: 39
Deficiencies: 0
Apr 5, 2020
Visit Reason
This document serves as a license renewal for Brookdale Stillwater Assisted Living Center, certifying the facility to conduct and maintain an assisted living center.
Findings
The document certifies the licensing status of the facility with no findings or inspection results reported.
Report Facts
Maximum licensed beds: 39
Inspection Report
Renewal
Census: 33
Deficiencies: 0
Dec 18, 2019
Visit Reason
A re-licensure survey was conducted from December 16 through December 18, 2019, to assess compliance for renewal of the facility's license.
Findings
No deficiencies were cited during the inspection. The facility was found to be in compliance with applicable regulations.
Report Facts
Census: 33
Inspection Report
Renewal
Capacity: 39
Deficiencies: 0
Apr 30, 2019
Visit Reason
This document is a license renewal issued to Brookdale Stillwater to conduct and maintain an Assisted Living Center, effective from 04/05/2019 to 04/04/2020.
Findings
The document certifies the renewal of the facility's license with a maximum capacity of 39 beds, issued pursuant to Oklahoma statutes and state board regulations.
Report Facts
Maximum licensed beds: 39
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