Inspection Reports for Iris Memory Care of Edmond
2424 NW 178th St, Edmond, OK 73012, Edmond, OK, 73012
Back to Facility ProfileDeficiencies (last 8 years)
Deficiencies (over 8 years)
0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
38 residents
Based on a January 2026 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 0
Date: Jan 15, 2026
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the center failed to protect residents from physical abuse and failed to provide care necessary to maintain skin integrity and prevent urinary tract infections.
Complaint Details
The complaint investigation (#OK00088765) was substantiated by an unannounced on-site investigation from 01/14/26 to 01/15/26. The allegations involved failure to protect residents from physical abuse and failure to provide necessary care to maintain skin integrity and prevent urinary tract infections. The investigation found no deficiencies.
Findings
The investigation included observations, interviews, and record reviews, and found the center to be in compliance with regulations. No deficiencies were cited.
Report Facts
Facility Census: 38
Sample Size: 3
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 1
Date: Dec 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the center failed to assess, monitor, and/or intervene when a resident had a change in condition and failed to ensure staffing to meet the needs of the residents.
Complaint Details
The complaint investigation (#OK00087850) was initiated due to allegations that the center failed to assess, monitor, and/or intervene when a resident had a change in condition and failed to ensure adequate staffing. The investigation included observations, interviews, and record reviews. The complaint was substantiated with deficiencies cited.
Findings
The investigation found deficiencies related to inadequate and untimely assistance provided to a resident after a fall, with staff failing to respond promptly and leaving the resident unattended on the floor for an extended period. Staffing levels were insufficient to meet resident needs, and the facility did not call emergency services for lifting assistance.
Deficiencies (1)
Failure to provide timely assistance after a fall for one resident, including leaving the resident unattended on the floor for over 30 minutes and inadequate staff response.
Report Facts
Facility Census: 38
Number of residents sampled: 3
Dates of investigation: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tempal Killman | Enforcement Analyst | Signed the enforcement letter |
| Rebecca Ramos | Administrator | Facility administrator addressed in the report |
| CNA #1 | Named in the finding related to failure to provide timely assistance after a fall | |
| CNA #2 | Named as no longer employed at the facility during investigation | |
| DON | Director of Nursing | Interviewed regarding staffing and fall incident |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 0
Date: Sep 4, 2025
Visit Reason
A complaint investigation was conducted due to allegations that the center failed to ensure interventions to prevent falls, failed to treat residents with dignity and respect, and failed to assess, monitor, and intervene in a timely manner.
Complaint Details
The complaint investigation was initiated based on allegations of failure to prevent falls, failure to treat residents with dignity and respect, and failure to assess, monitor, and intervene timely. The investigation was unannounced and included a sample of three residents. No deficiencies were found.
Findings
The investigation included observations, interviews, and record reviews. No deficiencies were cited as a result of the complaint investigation.
Report Facts
Facility Census: 33
Inspection Report
Renewal
Census: 39
Deficiencies: 0
Date: May 1, 2025
Visit Reason
A relicensure and complaint survey was conducted on May 1, 2025, including complaint investigations based on allegations received.
Complaint Details
Two complaint investigations were conducted on May 1, 2025. Allegations included failure to provide timely incontinent care, maintain a clean environment, ensure adequate staffing, and prevent physical abuse. Investigations found no signs of neglect or abuse, adequate care and staffing, and no grievances from residents or family members.
Findings
No deficiencies were cited during the relicensure and complaint survey. Observations and interviews showed timely incontinent care, clean and odor-free environment, adequate staffing, and no signs of neglect or abuse.
Report Facts
Facility Census: 39
Sample Size: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tempal Killman | Enforcement Analyst | Signed the inspection report |
| Jonna Warrick | Administrator | Facility administrator named in the report |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Dec 20, 2024
Visit Reason
This document serves as a renewal license for the Assisted Living Center named Iris Memory Care of Edmond, authorizing the facility to continue operations.
Findings
The license is issued pursuant to Oklahoma statutes and state board of health regulations, valid from 01/29/2025 through 01/28/2028, confirming compliance for renewal.
Report Facts
Maximum licensed beds: 40
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Date: Dec 14, 2023
Visit Reason
A State Licensure survey along with a complaint investigation was conducted due to allegations including failure to ensure residents were not abused, failure to waive the 30-day notice of discharge according to contract, and failure to ensure staff wore name tags.
Complaint Details
The complaint investigation included allegations of physical, sexual, or psychosocial abuse, failure to waive the 30-day discharge notice as per contract, and failure to ensure staff wore name tags. The investigation found no evidence of abuse or deficient practice related to these allegations.
Findings
The investigation found no deficient practices related to abuse, contract terms, or staff wearing name tags. Staff and family interviews indicated no problems, and no deficiencies were cited during the survey.
Report Facts
Resident census: 37
Investigation dates: 12/05/23, 12/06/23, 12/13/23, and 12/14/23
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Jul 21, 2022
Visit Reason
The document is a renewal license issued to 1031CF Portfolio 1 OKC MT, LLC for the operation of an Assisted Living Center named Iris Memory Care of Edmond.
Findings
This document certifies the facility's license renewal and confirms the maximum licensed capacity and license validity dates. No inspection findings or deficiencies are stated.
Report Facts
Maximum licensed beds: 40
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Feb 24, 2021
Visit Reason
This document serves as a license renewal for the assisted living center Iris Memory Care of Edmond, certifying the facility to continue operation.
Findings
The license renewal certifies that the facility meets the requirements set by the Oklahoma State Department of Health and is authorized to maintain a maximum capacity of 40 beds.
Report Facts
Maximum beds: 40
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 0
Date: Apr 27, 2020
Visit Reason
The visit was a COVID-19 Special Focus Infection Control Survey conducted to determine if the facility was in compliance with implementing 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 April 27, 2020.
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Mar 8, 2020
Visit Reason
This document serves as a license renewal for the assisted living center Iris Memory Care of Edmond, certifying the facility to continue operation under state regulations.
Findings
The license renewal certifies that the facility meets the requirements set forth by the Oklahoma State Department of Health for continued operation as an assisted living center with a maximum capacity of 40 beds.
Report Facts
Maximum licensed capacity: 40
Inspection Report
Renewal
Census: 39
Deficiencies: 0
Date: Sep 20, 2019
Visit Reason
A re-licensure survey was conducted on 09/17/19, 09/19/19, and 09/20/19 at the Assisted Living Center.
Findings
No deficiencies were cited during the inspection.
Report Facts
Census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed the inspection report |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 3
Date: May 15, 2019
Visit Reason
A complaint investigation was conducted on May 15, 2019, at Iris Memory Care of Edmond to investigate a complaint regarding deficient care related to a stage III pressure ulcer.
Complaint Details
The complaint was substantiated. The center neglected to provide care to prevent the development of a stage III pressure ulcer.
Findings
The investigation substantiated deficient practice related to failure to provide adequate registered nurse supervision and oversight, resulting in isolated actual harm to a resident with a stage III pressure ulcer. The facility was required to submit a plan of correction.
Deficiencies (3)
Failure to provide registered nurse supervision/oversight for a resident with a documented blister that progressed into an opened, infected stage III pressure ulcer on the right heel.
Failure to ensure care was provided to prevent an open, infected stage III pressure ulcer on a sampled resident, resulting in isolated actual harm.
Failure to coordinate care with a home health provider for a resident who experienced actual harm from an open, infected stage III pressure ulcer.
Report Facts
Census: 35
Deficiency count: 3
Plan of correction completion date: Aug 1, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Owen | RN | Signed the investigative report dated 05/21/2019. |
| Sue Davis | Enforcement Coordinator | Signed enforcement correspondence related to the complaint investigation. |
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed acceptance letter of plan of correction dated 06/21/2019. |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Apr 15, 2019
Visit Reason
This document is a license renewal issued to ESE OKC NW 178th I, LLC to conduct and maintain an Assisted Living Center named Iris Memory Care of Edmond.
Findings
The license renewal certifies the facility's compliance with the Oklahoma State Department of Health regulations and authorizes operation with a maximum capacity of 40 beds.
Report Facts
Maximum licensed beds: 40
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Feb 13, 2019
Visit Reason
The inspection was conducted as a complaint investigation at the assisted living facility Iris Memory Care of Edmond on February 13, 2019, to investigate allegations related to residents' rights and chemical restraint use.
Complaint Details
Two allegations were investigated: 1) The center failed to ensure residents' rights were not violated, and 2) The center failed to ensure residents were not chemically restrained. Both allegations were unsubstantiated (US).
Findings
No deficiencies were cited. Both allegations regarding residents' rights and chemical restraint use were found to be unsubstantiated after investigation, including interviews, observations, and record reviews.
Report Facts
Census: 34
Surveyor On-Site Hours: 7
Surveyor Travel Hours: 2.25
Surveyor Pre-Survey Preparation Hours: 1
Surveyor Off-Site Report Preparation Hours: 3.25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kay Determan | Long Term Care Enforcement Reviewer | Signed the cover letter for the complaint investigation report |
| Denise Owen | RN | Signed the investigative report and completed the report on 02/14/2019 |
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