Inspection Reports for
Jasmine Estates of Edmond
1001 S BRYANT AVE, EDMOND, OK, 73034
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
1.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
61% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
38 residents
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 1
Date: Nov 16, 2025
Visit Reason
A complaint investigation was conducted due to concerns that the center failed to ensure residents did not elope, specifically Resident #1 who eloped and was found on a busy street.
Complaint Details
The complaint investigation was substantiated. Resident #1 eloped from the facility using a secured employee code to exit the rear delivery door and was found on a busy street by a passerby. The facility failed to prevent this elopement despite prior knowledge of the resident's exit-seeking behavior.
Findings
The center failed to prevent Resident #1 from elopement, resulting in an immediate jeopardy situation. The resident had a previous elopement and was found outside the facility. The facility implemented a plan of removal including enhanced supervision, door security upgrades, staff training, and medication adjustments. The immediate jeopardy was lifted after verification of corrective actions.
Deficiencies (1)
Failure to prevent Resident #1 from elopement resulting in immediate jeopardy.
Report Facts
Facility Census: 38
Deficiency Count: 1
Invoice Amount: 781.87
Plan of Correction Completion Date: Dec 17, 2025
Revisit Date: Jan 14, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Leehan | Administrator | Named in relation to notification of immediate jeopardy and plan of correction. |
| Lisa Calvin | Enforcement Analyst II | Signed enforcement letters related to the complaint investigation. |
| Mark Pallazzo | Owner | Participant in QAIP meeting reviewing plan of correction. |
| Esther Agyemang | Director of Nursing / Wellness Director | Participant in QAIP meeting and involved in monitoring plan implementation. |
| Melissa Gerhold | Resident Care Coordinator | Participant in QAIP meeting and involved in plan of correction. |
| Michelle Grigsby | BOM/HR | Participant in QAIP meeting. |
| Mike Wright | Maintenance Director | Responsible for monthly checks on door badge readers and alarm functions. |
| Jamarus Johnson | Administrator | Named in revisit letter confirming correction of deficiencies. |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Date: Nov 3, 2025
Visit Reason
The inspection was a complaint investigation conducted due to allegations that the facility failed to ensure residents' rights to privacy, adequate staff for emergency evacuation, freedom from abuse, and adequate supervision to prevent elopements.
Complaint Details
The complaint investigation addressed allegations of failure to ensure residents' right to privacy, adequate staffing for emergency evacuation, freedom from abuse, and adequate supervision to prevent elopements. The investigation found the facility in compliance with no deficiencies cited.
Findings
Based on observations, record reviews, and interviews with residents, staff, and families, the facility was found to be in compliance with state regulations at the time of the investigation. No deficiencies were cited.
Report Facts
Facility Census: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Author of the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 6
Date: Jul 15, 2025
Visit Reason
A licensure survey with complaint investigation was conducted due to allegations including failure to ensure residents were free from abuse, failure to provide care for dependent residents, failure to ensure residents' choice of activities, and failure to ensure residents receive three meals per day.
Complaint Details
The complaint investigation was triggered by allegations of abuse, inadequate care for dependent residents, failure to ensure residents' choice of activities, and failure to provide three meals per day.
Findings
The investigation found multiple deficiencies including food safety violations, inadequate staffing to meet resident needs, lack of registered nurse supervision for skilled nursing interventions, failure to properly prepare non-crushable medications, failure to provide abuse training within 90 days of hire for some staff, and failure to conduct timely registry screening and background checks for some employees.
Deficiencies (6)
Food items were not covered and labeled with open and use dates in one of two refrigerators.
Failed to provide sufficient staff to meet services for 14 residents not capable of self preservation.
Failed to provide registered nurse supervision for 8 sampled residents for skilled nursing interventions.
Failed to ensure correct preparation for non-crushable medications for 1 of 2 sampled residents.
Failed to ensure staff were educated on abuse within 90 days of hire for 2 of 5 sampled employees.
Failed to conduct registry screening and background checks for staff upon hire for 2 of 5 sampled personnel files.
Report Facts
Facility Census: 35
Staffing: 6
Staffing: 5
Staffing: 3
Residents not capable of self preservation: 14
Residents requiring two staff assist for evacuation: 11
Employees missing abuse training: 2
Employees missing registry screening and background checks: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pollyette Adams | Administrator | Named as facility administrator and signer of plans of correction. |
| Lisa Calvin | Enforcement Analyst II | Author of inspection and enforcement correspondence. |
Inspection Report
Renewal
Census: 35
Deficiencies: 0
Date: Jun 25, 2024
Visit Reason
A relicensure survey was conducted from June 24, 2024 through June 25, 2024 to assess compliance for license renewal at the assisted living center.
Findings
No deficiencies were cited during the inspection.
Report Facts
Facility Census: 35
Inspection Report
Renewal
Capacity: 50
Deficiencies: 0
Date: Aug 10, 2023
Visit Reason
This document serves as a license renewal certification for the Assisted Living Center Jasmine Estates of Edmond, authorizing the facility to operate under the provisions of the Oklahoma State Board of Health.
Findings
The license renewal certifies that the facility meets the regulatory requirements to maintain operation with a maximum capacity of 50 beds. No deficiencies or violations are noted in this document.
Report Facts
Maximum licensed beds: 50
Inspection Report
Renewal
Census: 31
Deficiencies: 1
Date: May 30, 2023
Visit Reason
A state licensure relicensure survey was conducted at Jasmine Estates of Edmond on May 25 and May 30, 2023, to assess compliance with assisted living center regulations.
Findings
The survey found deficiencies related to inadequate nursing supervision and failure to properly monitor and administer insulin and finger stick blood sugar (FSBS) for an unstable diabetic resident. The facility lacked a negotiated service plan and care plan addressing diabetes management. The resident's spouse was administering insulin without physician orders or proper oversight. The facility was given an opportunity to correct these deficiencies.
Deficiencies (1)
RN failed to monitor, provide supervision, and implement the center's negotiated service plan and assume responsibility for insulin administration and FSBS monitoring for one unstable diabetic resident.
Report Facts
Resident census: 31
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst | Signed enforcement letters and communications regarding the survey and plan of correction |
| Savanah Patt | Administrator/Executive Director | Named as facility administrator and signer of plan of correction |
Inspection Report
Original Licensing
Capacity: 50
Deficiencies: 0
Date: Mar 19, 2023
Visit Reason
This document is an initial licensing certificate issued to EDMO-OC, LLC for the operation of an Assisted Living Center named Jasmine Estates of Edmond.
Findings
The document certifies that the facility is licensed to conduct and maintain an Assisted Living Center with a maximum capacity of 50 beds, effective from March 19, 2023, through September 15, 2023.
Report Facts
Maximum licensed beds: 50
Notice
Capacity: 50
Deficiencies: 0
Date: Oct 4, 2022
Visit Reason
This document serves as a license renewal issued to Leading Life Senior Living, Inc. to conduct and maintain an Assisted Living Center at Jasmine Estates of Edmond.
Findings
The document certifies the facility's licensure status and maximum bed capacity but does not include inspection findings or deficiencies.
Report Facts
Maximum licensed beds: 50
Inspection Report
Renewal
Capacity: 50
Deficiencies: 0
Date: Jun 18, 2021
Visit Reason
This document is a license renewal for the Assisted Living Center Autumn Leaves of Edmond, certifying the facility to conduct and maintain operations.
Findings
The license renewal certifies the facility's compliance with Oklahoma State Board of Health regulations and authorizes operation for one year from 06/18/2021 to 06/17/2022.
Report Facts
Maximum licensed beds: 50
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 5
Date: May 26, 2021
Visit Reason
A complaint investigation was conducted at Autumn Leaves Of Edmond to investigate multiple complaints regarding resident care and facility compliance.
Complaint Details
The complaint investigation was initiated based on multiple complaints including failure to follow resident contract regarding refunds (unsubstantiated), failure to provide adequate staff to meet residents' needs (unsubstantiated), failure to provide adequate medical care and services (substantiated), failure to have and/or implement abuse policy (unsubstantiated), and failure to do assessments as required (substantiated).
Findings
The investigation found deficiencies including failure to complete a 14-day resident assessment, insufficient staffing to meet residents' needs for activities of daily living, failure to implement fall prevention interventions resulting in harm, failure to ensure medication administration aides had current certifications, and failure to administer medications as ordered by physicians.
Deficiencies (5)
Registered nurse failed to complete a 14 day assessment for one resident.
Center failed to ensure sufficient staffing to meet the needs of residents dependent upon staff for activities of daily living (grooming, oral care, shoes, toileting) for five residents.
Center failed to implement interventions to prevent or lessen the risk of falls for one resident, resulting in harm.
Center failed to ensure three medication administration aides had current certification to administer medications.
Center failed to ensure medications were administered as ordered by the physician for three residents.
Report Facts
Residents sampled for assessments: 3
Residents sampled for activities of daily living: 5
Residents sampled for falls: 4
Residents sampled for medication administration: 3
Facility census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Reviewer/Analyst | Signed enforcement letters and notices |
| Mary Cooper | RN/CHFS | Completed report dated 05/28/2021 |
| Rishell Palmer | Administrator | Signed plan of correction documents |
| Savannah Patt | Executive Director/Administrator | Signed follow-up and final determination documents |
| Tempal Killman | Administrative Assistant | Signed acceptance and follow-up letters |
Inspection Report
Abbreviated Survey
Census: 33
Deficiencies: 0
Date: Oct 29, 2020
Visit Reason
The visit 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 October 29, 2020.
Report Facts
Total residents: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Stagner | Enforcement Analyst | Signed the report as Enforcement Analyst for Protective Health Services, Long Term Care |
Inspection Report
Renewal
Capacity: 50
Deficiencies: 0
Date: Jul 1, 2020
Visit Reason
This document is a license renewal issued to Leading Life Senior Living, Inc. for the operation of an Assisted Living Center named Autumn Leaves of Edmond.
Findings
The document certifies the facility's license renewal and authorizes it to maintain an assisted living center with a maximum capacity of 50 beds. No inspection findings or deficiencies are noted.
Report Facts
Maximum licensed beds: 50
Inspection Report
Renewal
Capacity: 50
Deficiencies: 0
Date: Aug 5, 2019
Visit Reason
This document is a renewal license issued to Leading Life Senior Living, Inc., dba Autumn Leaves of Edmond, certifying the facility to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility meets the requirements set by the Oklahoma State Department of Health for an Assisted Living Center with a maximum capacity of 50 beds. The license is effective from 06/18/2019 and expires on 06/17/2020.
Report Facts
Maximum licensed beds: 50
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Apr 18, 2019
Visit Reason
The inspection was conducted as a re-licensure survey including investigation of two complaints (Complaint #OK00053215 and #OK00053346) regarding care according to care plans, physician's orders, and residents' contracts and preferences.
Complaint Details
Complaint #OK00053215 alleged failure to provide care according to care plans and physician's orders; unsubstantiated. Complaint #OK00053346 alleged failure to provide care according to residents' contracts and preferences; unsubstantiated.
Findings
Both complaints were found to be unsubstantiated after investigation. No deficient practices were cited, and all residents were found to be clean, dry, and receiving sufficient care according to interviews and observations.
Report Facts
Census: 32
Survey dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Teena Cornett | RN, CHFS III | Investigator who completed the report |
| Kay Determan | Long Term Care Enforcement Reviewer | Signed cover letter for the inspection report |
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