Inspection Reports for Epworth Villa Health Services

Change of Information submission related to an assisted living facility with a dedicated memory care unit.

The document provides detailed information about the facility's memory care services, staffing ratios, training requirements, safety features, therapeutic activities, and service offerings related to Alzheimer's and dementia care.

The complaint investigation was conducted due to an allegation that the center failed to ensure residents did not elope.

The investigation included observations, interviews, and record reviews. No deficiencies were cited as a result of the complaint investigation.

The complaint alleged that the center failed to ensure residents did not elope. The investigation was unannounced and included a sample of three residents. No deficiencies were found and the complaint was not substantiated.

A complaint investigation was conducted due to allegations that the center failed to ensure medication carts were locked and medications not stored on top of medication carts, medications were given on time per physician orders, food was served under sanitary conditions, and residents were supervised in dining rooms.

The investigation found that medication carts were left unlocked while unattended and medications were left on top of treatment carts unattended. Medications were given at correct times per physician orders. Sanitary practices were upheld in the kitchen and staff were present in dining areas during meals on all floors. Additionally, nebulizer equipment was not properly rinsed, sanitized, and stored according to policy.

Complaint investigation #OK00067830 was conducted from 02/26/25 to 02/27/25 based on allegations related to medication cart security, medication administration timing, food sanitation, and resident supervision in dining rooms.

A complaint investigation was conducted due to allegations that the center failed to ensure residents were not physically, verbally, or psychosocially abused.

The investigation included observations, interviews, and record reviews. No deficiencies were cited as a result of the complaint investigation.

The complaint alleged failure to prevent physical, verbal, or psychosocial abuse of residents. The investigation was unannounced and included a sample of five residents. No deficiencies were found.

A complaint investigation was conducted at Epworth Villa Health Services due to allegations of abuse, inadequate nutrition, failure to prevent falls, and failure to provide care according to service agreements and care plans.

The investigation found deficiencies including failure to complete a comprehensive assessment after a resident's decline following a fall, failure to report a bankruptcy to the state, and multiple medication management issues including discontinued medications remaining on medication carts and medication errors.

The complaint investigation was initiated due to allegations that the center failed to prevent physical, verbal, or psychosocial abuse; failed to assess, monitor, intervene, and investigate injuries of unknown origin; failed to ensure adequate nutrition and prevent weight loss and pressure wounds; and failed to provide care according to service agreements and care plans. The investigation included observations, interviews, and record reviews.

A re-licensure survey was conducted on June 5-6, 2023, to assess compliance with state licensure requirements for the assisted living center.

The facility was found deficient in ensuring resident or representative interviews were included in comprehensive assessments, maintaining safe water temperatures in showers, providing CPR training for direct care staff, and ensuring abuse training for staff within required timeframes. A follow-up revisit confirmed all deficiencies were corrected by July 25, 2023.

A complaint investigation was conducted at Epworth Villa Health Services on December 19, 2022, due to allegations related to medication management and administration.

The investigation substantiated deficient practices related to failure to administer medications according to physician orders and failure to reconcile medications provided by family members. Deficiencies represented potential for more than minimal harm but no actual harm was identified. A plan of correction was required and accepted.

Two allegations were substantiated: 1) failure to have an effective medication re-order and reconciliation program, and 2) failure to administer medications according to physician orders. The investigation included review of medication administration records, physician orders, interviews with staff and family, and observation.

This document is a facility license renewal issued by the Oklahoma State Department of Health for Central Oklahoma United Methodist Retirement Facility, Inc., doing business as Epworth Villa Health Services.

The license certifies that the facility is authorized to conduct and maintain a Continuum of Care Facility with a maximum capacity of 217 beds. The license is effective from 08/01/2022 through 07/31/2025.

A complaint investigation was conducted at Epworth Villa Health Services based on allegations of neglect and failure to administer medications according to physician orders.

The investigation substantiated deficient practices related to neglect and medication administration errors for two residents. Resident #1 was found on the floor after not receiving medications and safety checks for approximately 24 hours. Resident #2 had medication administration errors including failure to reconcile family-provided medications.

The complaint investigation was substantiated for allegations that the center failed to ensure residents were not neglected and failed to ensure medications were administered according to physician's orders.

The document reports on complaint investigations conducted at Epworth Villa Health Services Assisted Living facility on May 2-3, 2022, in response to multiple allegations regarding care, medication administration, environment safety, and staffing.

All allegations investigated were found to be unsubstantiated. Residents and family members expressed satisfaction with the level of care, medication administration, cleanliness, and staffing. No deficiencies were cited during the investigations.

Multiple complaints were investigated including failure to provide care according to resident contract, failure to provide adequate medical care, failure to ensure medications were administered as prescribed, failure to provide a safe and clean environment, and failure to have adequate staff. All allegations were unsubstantiated.

This document serves as a license renewal for the Central Oklahoma United Methodist Retirement Facility, Inc., authorizing it to conduct and maintain a Continuum of Care Facility.

The document certifies the facility's license renewal status and specifies the maximum licensed bed capacity for nursing and assisted living beds.

This document serves as a license renewal for the Central Oklahoma United Methodist Retirement Facility, Inc., doing business as Epworth Villa Health Services, authorizing the facility to conduct and maintain a Continuum of Care Facility.

The license certifies the facility's capacity to maintain 87 nursing facility beds and 130 assisted living beds, with no adult day care participants or specialized Alzheimer's beds, effective from 08/01/2020 through 07/31/2021.

This document is a renewal license issued to Central Oklahoma United Methodist Retirement Facility, Inc., doing business as Epworth Villa Health Services, certifying the facility to conduct and maintain a Continuum of Care Facility.

The license certifies the maximum capacity of the facility as 87 nursing facility beds and 130 assisted living beds, with no adult day care participants or specialized Alzheimer's beds. No deficiencies or findings are noted in this document.

A state licensure survey was conducted at the facility from May 6 through May 8, 2019, as a re-licensure survey to assess compliance with regulations.

The survey identified deficiencies related to medication administration, specifically failure to ensure the person administering medication was identified on the medication administration record for multiple residents. The deficiencies represented potential for more than minimal harm. The facility was given an opportunity to submit a plan of correction.

complaint-inspection_2025-05-08.pdf

health-inspection_2024-10-03.pdf

complaint-inspection_2023-08-11.pdf

health-inspection_2023-08-11.pdf

infection-control-inspection_2023-04-24.pdf

health-inspection_2022-07-26.pdf