Inspection Reports for Dogwood Creek Retirement Center

3230 EAST SHAWNEE AVENUE, MUSKOGEE, OK, 74403

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Deficiencies (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/year

Deficiencies per year

8 6 4 2 0
2019
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 63 residents

Based on a October 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 20 40 60 80 Aug 2019 Jan 2021 Mar 2023 Jan 2024 May 2024 Oct 2025

Inspection Report

Renewal
Census: 63 Deficiencies: 2 Date: Oct 21, 2025

Visit Reason
A relicensure survey was conducted from October 20, 2025 through October 21, 2025 to assess compliance with licensure requirements for the assisted living center.

Findings
The facility was found deficient in establishing a quality assurance committee that met at least quarterly and in implementing policies for safe medication administration, specifically regarding expired medications in the medication refrigerator.

Deficiencies (2)
Failed to establish a quality assurance committee that met at least quarterly.
Failed to implement policy for expired medications during observation of the medication administration refrigerator.
Report Facts
Facility Census: 63

Inspection Report

Complaint Investigation
Census: 65 Deficiencies: 0 Date: Oct 9, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the facility failed to have and/or implement effective pharmacy procedures to ensure medications were ordered and available to administer to the physician’s orders, and failed to ensure residents were free from sexual abuse.

Complaint Details
The complaint investigations (#OK00065563 and #OK00068336) addressed allegations of ineffective pharmacy procedures and failure to ensure residents were free from sexual abuse. Both investigations involved observations, interviews, and record reviews. No deficiencies were found, and no substantiation of complaints was indicated.
Findings
Two complaint investigations were conducted from October 7 to October 9, 2024, involving medication administration procedures and resident safety from sexual abuse. No deficiencies were cited in either investigation.

Report Facts
Facility Census: 65 Complaint Investigation Dates: 3

Employees mentioned
NameTitleContext
Clorissa NubineEnforcement AnalystNamed as the Enforcement Analyst from the Oklahoma State Department of Health who signed the cover letter for the complaint investigation report

Inspection Report

Renewal
Census: 60 Deficiencies: 0 Date: May 3, 2024

Visit Reason
A relicensure survey was conducted from May 1, 2024 through May 3, 2024 to assess compliance with licensure standards at the Assisted Living Center.

Findings
No deficiencies were cited during the inspection.

Report Facts
Facility Census: 60

Inspection Report

Complaint Investigation
Census: 60 Deficiencies: 1 Date: Mar 6, 2024

Visit Reason
A complaint investigation was conducted at Dogwood Creek Retirement Center based on allegations of abuse, failure to provide dignity and respect, failure to ensure access to personal belongings, failure to ensure discharge rights, and failure to provide assistance with bathing according to care plans.

Complaint Details
The complaint investigation (#OK00063091) was initiated on 03/04/2024 and concluded on 03/06/2024. Allegations included failure to prevent physical, verbal, or psychosocial abuse; failure to treat residents with dignity and respect; failure to ensure access to personal belongings; failure to ensure discharge rights; and failure to provide assistance with bathing as per care plans. The investigation included interviews, observations, and record reviews.
Findings
The investigation found that the facility failed to ensure adequate supervision to prevent falls with injury during showering, specifically a resident who fell in the shower without staff present. The resident was removed from the stand-by shower list without a new assessment. The facility was cited for failure to comply with resident rights and medical care standards.

Deficiencies (1)
Failed to ensure adequate supervision was provided to prevent falls with injury during showering.
Report Facts
Facility Census: 60 Investigation Dates: 2 Plan of Correction Completion Date: Apr 5, 2024

Employees mentioned
NameTitleContext
Dani WoodlandExecutive DirectorNamed as recipient of the inspection report and signer of the plan of correction
Tempal KillmanEnforcement AnalystAuthor of the inspection and enforcement correspondence
CNA #1Interviewed regarding the resident fall incident and shower supervision
AdministratorInterviewed regarding assessment and shower list procedures

Inspection Report

Complaint Investigation
Census: 57 Deficiencies: 0 Date: Jan 11, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the center failed to provide two hour checks for dependent residents, timely incontinent care, ADL assistance, proper meal temperatures, housekeeping services, and failed to ensure residents were not abused physically, verbally, or psychosocially.

Complaint Details
The complaint investigation included allegations of failure to provide two hour checks, timely incontinent care, ADL assistance, proper meal temperatures, housekeeping, and failure to prevent abuse. The investigation found no deficiencies and no substantiated abuse or neglect.
Findings
The facility was observed to be clean, orderly, and without offensive odor. Staff were observed communicating and assisting residents appropriately. Residents reported their daily needs were met, including food, laundry, and housekeeping. No deficiencies were cited in the complaint investigations. Residents and staff reported no abuse or bullying incidents.

Report Facts
Facility Census: 57 Complaint Investigations Conducted: 3

Employees mentioned
NameTitleContext
Clorissa NubineEnforcement AnalystSigned the cover letter for the complaint investigation report

Inspection Report

Complaint Investigation
Census: 51 Deficiencies: 2 Date: Jul 7, 2023

Visit Reason
A complaint investigation was conducted at Dogwood Creek Retirement Center due to allegations of failure to ensure a clean, comfortable, and homelike environment, and failure to ensure palatable food was served, among other concerns.

Complaint Details
The complaint investigation was based on allegations that the facility failed to ensure a clean, comfortable, and homelike environment and failed to ensure palatable food was served. The investigation included observations, interviews, and record reviews. The facility was found to have multiple deficiencies related to food service and resident environment.
Findings
The facility failed to maintain the kitchen in accordance with food service regulations, including issues with cleaning, sanitation, pest control, food temperature, and staff hygiene. Resident rooms had mold, water damage, and carpet issues. Dining chairs were dirty and unstable. Pest infestations and improper food handling were noted. The facility was given a plan of correction and a follow-up revisit was scheduled.

Deficiencies (2)
Failed to maintain kitchen cleanliness, sanitation, and food storage; ineffective pest control program; food not at palatable temperature; hair nets not worn by kitchen staff; improper glove use and hand hygiene.
Failed to provide all services specified in residents' service contracts, including maintaining resident rooms free from mold, restoring rooms after water leaks/flooding, maintaining clean and intact carpets, and providing clean and safe dining chairs.
Report Facts
Residents: 51 Food temperature: 84.9 Food temperature: 88.9 Food temperature: 68

Inspection Report

Complaint Investigation
Census: 52 Deficiencies: 7 Date: Mar 22, 2023

Visit Reason
A relicensure survey and a complaint investigation were conducted at Dogwood Creek Retirement Center due to allegations including failure to have and/or implement an effective COVID-19 infection control program.

Complaint Details
The complaint investigation substantiated that the center failed to have and/or implement an effective COVID-19 infection control program. Deficient practice was substantiated and a plan of correction was required.
Findings
The investigation substantiated deficient practices related to infection control and multiple other deficiencies including food storage, preparation and service, staff qualifications, assessment timeframes, and failure to ensure staff wore face masks consistently. The facility failed to maintain proper kitchen sanitation, labeling, and training, and did not complete required resident assessments or ensure staff CPR training.

Deficiencies (7)
Failed to maintain the kitchen in accordance with food service regulations including proper cleaning, sanitation, and storage of cooking utensils.
Failed to ensure leftover foods which were non-potentially hazardous were disposed of after 48 hours.
Failed to ensure kitchen staff responsible for food preparation had attended a food service training program approved by the OSDH.
Failed to complete a comprehensive fourteen day assessment for one sampled resident.
Failed to ensure staff members providing socialization, activity, and exercise services were qualified by training.
Failed to ensure direct care staff members were trained in CPR.
Failed to ensure staff members consistently wore face masks while caring for residents.
Report Facts
Residents: 52 Sampled residents: 12 Direct care staff with CPR training: 1 Deficiency citations: 7

Employees mentioned
NameTitleContext
Dani WoodlandAdministratorNamed as facility administrator and signatory on plan of correction.
Tempal KillmanAdministrative Assistant IISigned letter acknowledging acceptance of plan of correction.
G. Rose DoschRNSigned investigative report.

Notice

Capacity: 80 Deficiencies: 0 Date: Oct 6, 2022

Visit Reason
This document serves as a license renewal notice certifying Dogwood Creek Retirement Center Limited Partnership to conduct and maintain an Assisted Living Center.

Findings
The license confirms the facility's authorization to operate with a maximum capacity of 80 beds, effective from 09/22/2022 through 09/21/2025.

Report Facts
Maximum licensed beds: 80

Inspection Report

Complaint Investigation
Census: 18 Deficiencies: 0 Date: Aug 29, 2022

Visit Reason
A complaint investigation was conducted based on allegations that the center failed to maintain an effective pest control program, provide a comfortable and safe temperature level, and maintain a safe, sanitary, and comfortable environment to prevent disease transmission.

Complaint Details
Three allegations were investigated: 1) ineffective pest control program, 2) unsafe or uncomfortable temperature levels, and 3) unsafe, unsanitary environment. All were found unsubstantiated (US).
Findings
The investigation found all allegations to be unsubstantiated. No pests were observed, temperatures were within a comfortable range, and the environment was generally safe and sanitary with minor issues scheduled for repair. No deficiencies were cited.

Report Facts
Residents sampled: 18 Temperature range: 72 Temperature range: 86

Employees mentioned
NameTitleContext
Brenda LankfordRNSigned the investigative report
Lisa CalvinLong Term Care Enforcement ReviewerSigned the cover letter for the complaint investigation report

Inspection Report

Renewal
Capacity: 80 Deficiencies: 0 Date: Sep 22, 2021

Visit Reason
This document is a license renewal issued to Dogwood Creek Retirement Center Limited Partnership to conduct and maintain an Assisted Living Center.

Findings
The license certifies that the facility meets the requirements to operate as an Assisted Living Center with a maximum capacity of 80 beds for the period from 09/22/2021 to 09/21/2022.

Report Facts
Maximum licensed beds: 80

Inspection Report

Complaint Investigation
Census: 52 Deficiencies: 2 Date: Jan 12, 2021

Visit Reason
A Covid-19 Focus survey was conducted in conjunction with a complaint investigation to determine if the facility was in compliance with infection prevention and control practices to prevent COVID-19 transmission.

Complaint Details
Complaint #OK00056429 was investigated. Allegation #1 that the facility failed to follow infection control guidance and reporting for COVID-19 was unsubstantiated. Allegation #2 that the center failed to provide adequate medical care in a clean environment was substantiated.
Findings
The facility was found deficient in infection control practices during meal service, including improper glove use and hand hygiene, and failure to provide a safe, clean environment free of bed bugs for one resident. The bed bug infestation was ongoing with inadequate pest control measures. The facility submitted a plan of correction and later evidence showed correction of deficiencies.

Deficiencies (2)
Failed to implement CDC guidelines for infection control during meal service, including sanitary delivery of meal trays and proper hand hygiene before cutting food.
Failed to provide a safe, clean, and comfortable environment free of bed bugs for one resident.
Report Facts
Total residents: 52 Plan of Correction completion date: Feb 5, 2021 Inspection revisit date: Mar 25, 2021

Employees mentioned
NameTitleContext
Sharon RossRNNamed in relation to complaint investigation findings and report completion
Lisa CalvinEnforcement Reviewer/AnalystSigned enforcement letters and communications
Dani WoodlandAdministratorFacility administrator named in report and plan of correction

Inspection Report

Renewal
Capacity: 80 Deficiencies: 0 Date: Sep 3, 2020

Visit Reason
This document is a renewal license issued to Dogwood Creek Retirement Center Limited Partnership to conduct and maintain an Assisted Living Center.

Findings
The license certifies that the facility meets the requirements to operate as an Assisted Living Center with a maximum capacity of 80 beds. No deficiencies or violations are noted in this document.

Report Facts
Maximum licensed beds: 80

Inspection Report

Renewal
Capacity: 80 Deficiencies: 0 Date: Jun 26, 2020

Visit Reason
This document serves as a renewal license issued to Dogwood Creek Retirement Center to conduct and maintain an Assisted Living Center.

Findings
The license certifies that the facility meets the requirements to operate as an Assisted Living Center with a maximum capacity of 80 beds, effective from 09/22/2019 to 09/21/2020.

Inspection Report

Complaint Investigation
Census: 48 Deficiencies: 0 Date: Jan 2, 2020

Visit Reason
The inspection was conducted as a complaint investigation based on complaint #OK00054550 regarding alleged neglect to provide services to avoid unnecessary physical harm.

Complaint Details
The allegation that the center neglected to provide services to avoid unnecessary physical harm was unsubstantiated (US). No deficient practice was confirmed related to this allegation.
Findings
The investigation found no deficiencies; the allegation of neglect was unsubstantiated. Pest control measures were effective, and no bed bug bites or rashes were observed among residents.

Report Facts
Residents sampled: 7 Census: 48 Surveyor on-site hours: 4.75

Employees mentioned
NameTitleContext
Billie SeemanRN Clinical Health Facility SurveyorSigned the investigative report and findings
Katie StagnerLong Term Care Enforcement ReviewerSigned the cover letter transmitting the report

Inspection Report

Complaint Investigation
Census: 49 Deficiencies: 0 Date: Aug 30, 2019

Visit Reason
The inspection was conducted as a complaint investigation based on allegation #OK00053965 regarding the facility's cleanliness and residents' ability to control air temperature.

Complaint Details
The allegation that the center failed to provide a clean environment and failed to ensure residents could control air temperature was unsubstantiated after investigation.
Findings
The investigation found no deficiencies; the allegation was unsubstantiated. The facility was clean, residents could control room temperatures, and no unpleasant odors or wet areas were observed.

Report Facts
Census: 49 Number of residents sampled: 3 Ambient air temperature: 72.3 Surveyor on-site hours: 2.75

Employees mentioned
NameTitleContext
Lisa CalvinLong Term Care Enforcement ReviewerSigned the cover letter for the complaint investigation report
Marie ReimerRN, CHFS IVCompleted the investigative report on 09/03/2019

Notice

Capacity: 80 Deficiencies: 0 Date: 09 10 2025 LICENSE 113734

Visit Reason
This document serves as a license renewal for the Dogwood Creek Retirement Center Assisted Living Center, certifying its authorization to operate.

Findings
The document certifies that the facility is licensed to conduct and maintain an assisted living center with a maximum capacity of 80 beds. It does not include inspection findings or deficiencies.

Report Facts
Maximum licensed capacity: 80

Report


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