Inspection Reports for Legend at Council Road

The inspection was conducted as a complaint investigation based on allegations that the center failed to protect residents from sexual abuse and failed to follow abuse prevention and reporting policies and procedures.

Observations of residents, resident to resident interactions, and staff to resident interactions were made. Records of residents’ health charts, incident reports, and facility policies were reviewed. Interviews with residents, families, and staff were conducted. Based on observation, record review, and interview, the center was in compliance with regulations and no deficiencies were cited.

The complaint investigation was initiated due to allegations of failure to protect residents from sexual abuse and failure to follow abuse prevention and reporting policies. The investigation found the center in compliance with regulations and no deficiencies were cited.

A complaint investigation was conducted due to allegations that the center failed to ensure residents were free from abuse and that call lights were answered timely, among other concerns.

The center failed to ensure a resident who did not meet admission criteria was discharged, resulting in an assault on another resident that caused serious injury. Staff training on abuse prevention and mental health management was inadequate. The center implemented a plan of removal and re-education, and the immediate jeopardy was lifted after the resident was transferred out and corrective actions were verified.

The complaint investigation was initiated due to allegations that the center failed to ensure residents were free from abuse, call lights were answered timely, and services were provided according to contract. The investigation found that Resident #1, who did not meet admission criteria, assaulted Resident #2 causing serious injury requiring hospitalization. The incident was substantiated and immediate jeopardy was declared and later removed after corrective actions.

The complaint investigation was conducted due to allegations that the center failed to protect residents from sexual abuse and misappropriation of property.

Observations of resident to resident and staff to resident interactions showed no distress. Records and interviews with residents, families, and staff indicated the center was in compliance with regulations. No deficiencies were cited.

The investigation was initiated based on allegations of failure to protect residents from sexual abuse and misappropriation of property. The complaint was found to be unsubstantiated with no deficiencies cited.

A relicensure survey with complaints was conducted from July 7, 2025 through July 9, 2025 to investigate multiple allegations including abuse, medication administration, and staffing concerns.

No deficiencies were cited during the relicensure survey and complaint investigations. The facility was observed for abuse, neglect, medication administration, and staffing concerns, with records and interviews reviewed.

Multiple complaints were investigated with allegations including failure to ensure residents were free from physical, verbal, and psychosocial abuse; failure to report allegations of abuse; failure to administer medications according to physicians' orders; and inadequate staffing to meet residents' needs. Investigations were unannounced and conducted from July 7 through July 9, 2025. Evidence was obtained through observations, interviews, and record reviews.

The document serves as a renewal license notification for the assisted living facility Legend at Council Road, confirming the license effective and expiration dates.

The document certifies the renewal of the facility's license to operate as an assisted living center with a maximum capacity of 76 beds. It includes instructions for displaying the license and reporting any operational changes.

A complaint investigation was conducted due to allegations related to accidents at the assisted living facility.

The investigation found no deficiencies. Observations included residents wandering in the memory care unit with secure exit doors and alarms in place. Staff were observed monitoring residents regularly and documenting appropriately. Family and staff interviews confirmed knowledge of elopement policies and procedures.

Complaint investigation #OK00066442 was conducted on 08/14/24 and 08/15/24. No deficiencies were cited.

The inspection was conducted as a complaint investigation related to allegations about assistance with activities of daily living, quality of food, administration services, staffing, and timely response to call lights.

The investigation found no deficiencies; staff were observed assisting residents, residents did not complain about assistance, food, leadership, or call light response, and administrative services were adequate.

The complaint investigation was related to call lights, resident care, staffing, food, administrative services, resident records, and contracts. The complaint was not substantiated as no deficient practices were cited.

A complaint investigation was conducted due to allegations that the facility failed to assess and monitor for adverse effects of medication, failed to ensure residents did not have significant weight loss, and failed to notify resident representatives of changes in condition.

The investigation found that the facility failed to intervene and notify the physician of a 14.84% weight loss for one resident out of three reviewed. The facility did not have dietitian notes, supplement orders, or evidence of physician notification regarding the weight loss. The facility was given an opportunity to correct the deficiencies.

The complaint investigation was substantiated with findings that the facility failed to monitor and notify the physician about significant weight loss in a resident. The investigation was conducted on 10/09/23 and 10/10/23.

A complaint investigation was conducted based on an allegation that the center failed to ensure a safe, clean, sanitary kitchen environment.

The investigation found multiple deficiencies related to food storage, preparation, and service, including improper food thawing, inadequate cleaning and sanitization, failure to maintain proper temperatures, and unsafe storage of food with chemicals. The facility also failed to follow hot water temperature standards and sanitation guidelines.

Complaint #OK00060113 alleged the center failed to ensure a safe, clean, sanitary kitchen environment. The complaint investigation was substantiated with deficient practice cited.

The investigation was conducted in response to a complaint alleging the facility failed to ensure medications were administered according to physician's orders and failed to provide timely incontinent care and adequate supervision for dependent residents.

The complaint investigation found no deficiencies; both allegations were unsubstantiated after observations, interviews, and record reviews. Residents received medications and incontinent care as ordered and needed, and no violations were observed.

Two allegations were investigated: 1) failure to ensure medications were administered according to physician's orders, and 2) failure to provide timely incontinent care and adequate supervision for dependent residents. Both allegations were unsubstantiated (US).

A complaint investigation was conducted at the assisted living center based on allegations of abuse and failure to implement the abuse policy.

The center failed to immediately investigate an abuse allegation for one of two sampled residents with allegations of abuse. The administrator could not provide documentation of the investigation for an incident that occurred on 03/24/20. The facility was found to have deficiencies representing the potential for more than minimal harm but no actual harm was identified.

The complaint allegation that the center failed to have and/or implement their abuse policy was substantiated. The investigation included a sample of 4 residents and was conducted using investigative protocols including observations, interviews, and record review.

This document serves as a license renewal for the assisted living center known as Legend at Council Road, authorizing the facility to continue operations.

The license renewal certifies that the facility meets the requirements set forth by the Oklahoma State Department of Health and is authorized to maintain a maximum capacity of 76 beds.

The visit was conducted as a COVID-19 Special Focus Infection Control Survey 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.

No deficiencies were cited during the COVID-19 Special Focus Survey conducted on August 17, 2020.

This document serves as a license renewal for Council ALF, LLC, an assisted living center, authorizing continued operation from 04/21/2020 to 04/20/2021.

The license renewal certifies that the facility meets the requirements set by the Oklahoma State Board of Health and is authorized to maintain a maximum capacity of 76 beds.

A re-licensure survey was conducted on July 22, 24, and 25, 2019 at the Assisted Living Center.

No deficiencies were cited during the inspection.

The document is a license renewal issued to Council ALF, LLC for the Assisted Living Center known as Legend at Council Road.

This document certifies the facility's license renewal and does not include inspection findings or deficiencies.

An abbreviated survey was conducted to investigate complaint #OK00053285 regarding allegations of failure to provide care according to residents' contract and failure to administer medications according to physicians' orders.

The investigation found that deficient practices related to both allegations were unsubstantiated. Residents were observed to be well cared for, medication administration was correct, and no deficiencies were cited.

Two allegations were investigated: 1) failure to provide care according to residents' contract, and 2) failure to administer medications according to physicians' orders. Both allegations were found unsubstantiated (US).

The document is a Petition and Notice of Intent to Assess Administrative Penalty issued by the Oklahoma State Department of Health against Council ALF, LLC, licensee/operator of Legend at Council Road, an assisted living center, for violations of the Continuum of Care and Assisted Living Act and related rules.

On July 17, 2014, a change of ownership survey found multiple deficiencies including failure to complete admission assessments timely, failure to obtain required signatures for personal interviews, medication administration errors, inadequate staffing for memory care residents, failure to maintain a quality assurance committee, and failure to prevent elopement risks. A follow-up survey on December 19, 2014 found all deficiencies cleared.