Inspection Reports for Homestead of Bethany
4101 NORTH COUNCIL ROAD, BETHANY, OK, 73008
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
27 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Notice
Capacity: 30
Deficiencies: 0
Date: Jun 7, 2025
Visit Reason
This document serves as the renewal license notification for the assisted living facility Homestead of Bethany, effective from June 7, 2025, through June 7, 2028.
Findings
The document certifies that Homestead of Bethany is licensed to operate as an Assisted Living Center with a maximum capacity of 30 beds. It includes license details and instructions for displaying the license and reporting changes.
Report Facts
Maximum licensed beds: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hale | Administrative Programs Manager | Signed the renewal license notification letter |
| Keith Reed | Commissioner of Health | Listed as Commissioner of Health on the license |
Inspection Report
Renewal
Census: 27
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
The inspection was a re-licensure inspection with a complaint investigation conducted at the Assisted Living Center.
Complaint Details
The complaint alleged the facility failed to ensure residents were provided care and services according to physician orders and plan of care. The investigation included observations, interviews, and record reviews, and found no evidence to support the allegation.
Findings
No deficiencies were cited during the re-licensure inspection and complaint investigation. The complaint investigation found no evidence to support the allegation that residents were not provided care according to physician orders and plan of care.
Report Facts
Facility Census: 27
Sample size: 8
Inspection Report
Renewal
Census: 15
Deficiencies: 1
Date: Oct 18, 2023
Visit Reason
A relicensure survey was conducted from October 17 through October 18, 2023, to assess compliance with applicable construction and safety standards for the assisted living center.
Findings
The center failed to ensure fire safety inspections were completed annually, with the last documented inspection dated July 13, 2021. The Executive Director confirmed no fire safety inspections had been conducted since that date.
Deficiencies (1)
Failed to ensure fire safety inspections were completed annually.
Report Facts
Residents present: 15
Date of last fire inspection: Jul 13, 2021
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 18, 2022
Visit Reason
The inspection was conducted as a complaint investigation at the Assisted Living facility regarding allegations of ineffective infection control, failure to protect residents from abuse, and improper food storage and preparation.
Complaint Details
Three allegations were investigated: 1) ineffective infection control program, 2) failure to protect residents from verbal and physical abuse, and 3) failure to store and prepare food under sanitary conditions. All allegations were unsubstantiated (US).
Findings
The investigation found no deficiencies related to the allegations. All three allegations were unsubstantiated after review of infection control practices, incident reports, staff qualifications, food handling, and resident observations.
Report Facts
Number of residents sampled: 6
Investigation start time: 405
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Stagner | Long Term Care Enforcement Analyst | Signed cover letter for complaint investigation report |
| Melissa Swaim | RN | Signed determination summary and follow-up action |
Inspection Report
Renewal
Capacity: 30
Deficiencies: 0
Date: Jul 21, 2022
Visit Reason
The document is a license renewal issued to Homestead of Bethany Operations, LLC to conduct and maintain an Assisted Living Center.
Findings
This document certifies the renewal of the facility's license with a maximum capacity of 30 beds, effective from 06/07/2022 to 06/06/2025.
Report Facts
Maximum licensed beds: 30
Notice
Capacity: 30
Deficiencies: 0
Date: Jul 21, 2021
Visit Reason
This document serves as a license renewal for the Assisted Living Center named Homestead of Bethany, certifying the facility to conduct and maintain operations.
Findings
The license certifies that Homestead of Bethany is authorized to operate as an Assisted Living Center with a maximum capacity of 30 beds, effective from 06/07/2021 to 06/06/2022.
Report Facts
Maximum licensed beds: 30
Inspection Report
Routine
Census: 7
Deficiencies: 0
Date: Nov 16, 2020
Visit Reason
The inspection was a COVID-19 Special Focus Infection Control Survey conducted to determine if the facility was in compliance with proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
No deficiencies were cited during the COVID-19 Special Focus Survey conducted on November 16, 2020.
Report Facts
Total residents: 7
Inspection Report
Original Licensing
Census: 17
Deficiencies: 4
Date: Jan 29, 2020
Visit Reason
An initial/change of ownership State Licensure survey was conducted at the facility from January 27, 2020 through January 29, 2020.
Findings
Deficiencies were found related to food storage, preparation and service, conduct of assessments, resident rights regarding medical care, and medication storage and administration. The deficiencies had the potential for more than minimal harm.
Deficiencies (4)
Failed to ensure compliance with food service establishment regulations regarding kitchen equipment and dish sanitation, including missing data plate on dishwasher and inadequate dishwasher rinse temperatures.
Failed to ensure assessments were coordinated and signed by the registered nurse or resident's personal physician for 2 of 8 sampled residents.
Failed to ensure each comprehensive assessment included a personal interview signature for 3 of 8 sampled residents.
Failed to ensure correct storage and maintenance of opened insulin pens for 2 of 2 sampled insulin dependent residents, with opened and undated insulin stored in the medication refrigerator.
Report Facts
Census: 17
Residents sampled: 8
Residents affected: 2
Residents affected: 3
Residents affected: 2
Residents receiving medications: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristi Kelly-Bolner | Administrator | Named in Plan of Correction signatures and correspondence |
| Sue Davis | Enforcement Coordinator / Long Term Care Enforcement Reviewer | Signed enforcement and acceptance letters |
Inspection Report
Original Licensing
Capacity: 30
Deficiencies: 0
Date: Dec 6, 2019
Visit Reason
The document is an initial licensing approval and issuance for Homestead of Bethany Operations, LLC to operate an Assisted Living Center.
Findings
The application for the initial license was approved, and the license was issued with an effective date of December 6, 2019, and an expiration date of June 3, 2020. Various required documents related to resident policies and procedures were accepted.
Report Facts
Maximum licensed beds: 30
Inspection Report
Renewal
Census: 15
Deficiencies: 6
Date: Oct 9, 2019
Visit Reason
A state licensure survey was conducted from October 7 through October 9, 2019, as a re-licensure survey for the assisted living center facility.
Findings
Deficiencies were found related to annual performance reviews for nurse aides, annual competency reviews for certified medication aides, hot water temperature exceeding standards, failure to complete annual fire marshal inspection, failure to ensure monthly medication reviews by qualified staff, and failure to obtain fingerprint-based background checks for certain employees. The deficiencies represented potential for more than minimal harm to residents.
Deficiencies (6)
Failure to ensure annual performance reviews for nurse aides employed longer than one year.
Failure to review annually the skills and performance competency of certified medication aides employed longer than one year.
Failure to ensure hot water temperatures did not exceed 115 degrees Fahrenheit in residents' rooms.
Failure to ensure an annual fire marshal inspection had been completed.
Failure to ensure medications were reviewed monthly by a registered nurse or pharmacist for sampled residents.
Failure to obtain fingerprint-based national background checks for two administrative employees hired in the past year.
Report Facts
Census: 15
Residents sampled for medication review: 6
Residents affected by deficiencies: 15
Survey dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sue Davis | Enforcement Coordinator | Signed enforcement and acceptance letters related to the survey |
| Kristi Kelly-Bolner | Administrator | Facility administrator during survey and plan of correction |
| Marsha Triplett | Administrator | Facility administrator at time of survey |
Inspection Report
Renewal
Capacity: 30
Deficiencies: 0
Date: May 6, 2019
Visit Reason
The document is a renewal license issued to Assisted Living Properties, Inc. for the operation of an Assisted Living Center named Brookdale Bethany.
Findings
The license certifies that the facility meets the provisions of the Oklahoma Statutes and rules and regulations adopted by the State Board of Health for renewal of the assisted living center license.
Report Facts
Maximum licensed beds: 30
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