Inspection Reports for Homestead of Kingfisher
1604 SOUTH 13TH STREET, OK, 73750
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Inspection Report
Renewal
Capacity: 47
Deficiencies: 0
Aug 4, 2025
Visit Reason
This document serves as a renewal license for the Homestead of Kingfisher Assisted Living Center, certifying the facility's authorization to operate from August 4, 2025, through August 4, 2028.
Findings
The document certifies that the facility is licensed to conduct and maintain an assisted living center with a maximum capacity of 47 beds. No deficiencies or inspection findings are noted in this renewal license.
Report Facts
Maximum licensed capacity: 47
Inspection Report
Renewal
Census: 22
Deficiencies: 2
Jun 7, 2024
Visit Reason
A relicensure survey was conducted from June 6, 2024 through June 7, 2024 to assess compliance with state licensure requirements for the assisted living facility.
Findings
The survey identified deficiencies related to food storage and preparation, specifically leftover foods being kept in the refrigerator beyond 48 hours, and water temperatures for bathing exceeding the maximum allowed 115 degrees Fahrenheit. The facility was given an opportunity to correct these deficiencies with a plan of correction accepted by the state.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure leftover foods were not kept in the refrigerator more than 48 hours. | SS=E |
| Facility failed to ensure water temperatures for bathing did not exceed 115 degrees Fahrenheit. | SS=E |
Report Facts
Facility Census: 22
Water temperature: 128.8
Water temperature: 131.9
Water temperature: 131
Water temperature: 124.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Signed enforcement letters and communications regarding the inspection and follow-up |
| Marcie Musick | Administrator | Facility administrator named in the inspection and plan of correction documents |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 11, 2023
Visit Reason
The inspection and complaint investigation were conducted due to an allegation that the facility failed to have an active and available administrator.
Findings
The investigation found that the administrator was present and available during the survey. No deficient practices were cited.
Complaint Details
The complaint alleged the facility failed to have an active and available administrator. The investigation included interviews with residents and staff, observations, and record reviews. The allegation was not substantiated and no deficiencies were cited.
Report Facts
Sample size: 8
Investigation dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Thompson | LPN CHFS | Completed the investigative report |
| Lisa Calvin | Long Term Care Enforcement Analyst | Signed the cover letter accompanying the inspection report |
Inspection Report
Renewal
Capacity: 47
Deficiencies: 0
Aug 4, 2022
Visit Reason
This document is a renewal license issued to Homestead of Kingfisher, certifying the facility 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 47 beds. No deficiencies or findings are noted in this document.
Report Facts
Maximum licensed beds: 47
Inspection Report
Original Licensing
Capacity: 47
Deficiencies: 0
Jan 4, 2022
Visit Reason
This document is the initial licensing certification for the Homestead of Kingfisher Assisted Living Center, authorizing the facility 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 47 beds, effective from December 16, 2021, through June 14, 2022.
Report Facts
Maximum licensed beds: 47
Inspection Report
Abbreviated Survey
Census: 23
Deficiencies: 1
Aug 13, 2020
Visit Reason
A COVID-19 focused infection control survey was 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
The facility failed to ensure safe and adequate care was provided to two of five memory care residents by not maintaining appropriate social distancing and not ensuring residents wore appropriate PPE when out of their rooms.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure appropriate social distancing and PPE use among memory care residents. | SS=E |
Report Facts
Total residents: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kaci Farrar | ED | Administrator who signed the plan of correction |
| Lisa Calvin | Enforcement Reviewer/Analyst | Signed enforcement letter |
| Katie Stagner | Long Term Care Enforcement Reviewer | Signed acceptance letter of plan of correction |
Inspection Report
Renewal
Capacity: 47
Deficiencies: 0
Aug 19, 2019
Visit Reason
This document is a renewal license issued to WC - Countrywood OPS, LLC to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility meets the provisions of the Oklahoma Statutes and State Board of Health regulations for renewal of the assisted living center license.
Report Facts
Maximum licensed beds: 47
Inspection Report
Renewal
Census: 37
Deficiencies: 3
Apr 10, 2019
Visit Reason
A re-licensure survey was conducted on April 9 and 10, 2019 at Countrywood Assisted Living and Memory Care to assess compliance with state regulations.
Findings
Deficiencies were found related to food storage, preparation and service, and medication staffing, including failure to ensure dietary equipment cleanliness and improper application of topical medication on a resident with open decubitus ulcers.
Severity Breakdown
SS=F: 1
SS=E: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure compliance with food service establishment regulations to keep dietary equipment clean, with widespread potential for more than minimal harm to all 37 residents receiving food from the kitchen. | SS=F |
| Failure to ensure only qualified staff applied topical medication on decubitus ulcers for one resident, with potential for more than minimal harm at a pattern. | SS=E |
| Certified medication aides applied topical wound care medications that involve decubitus treatment ordered by the attending physician, which is not allowed. | SS=E |
Report Facts
Resident census: 37
Survey dates: 2
Plan of correction completion date: Corrective action to be completed by July 5, 2019
Follow-up survey date: 2019
Resident census at follow-up: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Carter | Administrator | Named as facility administrator receiving the survey and plan of correction letters |
| Sue Davis | Enforcement Coordinator | Signed enforcement and follow-up letters |
| Kay Determan | Long Term Care Enforcement Reviewer | Signed acceptance letter for plan of correction |
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