Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 0
Sep 4, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the facility failed to provide interventions to prevent elopement and failed to ensure residents were free from abuse.
Findings
The complaint investigations conducted on August 25, 2025, and September 4-5, 2025, found no deficiencies cited. The facility was toured, residents and staff were observed and interviewed, and relevant records were reviewed with no issues identified.
Complaint Details
The complaints investigated included allegations that the facility failed to provide interventions to prevent elopement and failed to ensure residents were free from abuse. Both investigations concluded with no deficiencies cited.
Report Facts
Facility Census: 78
Complaint Investigations: 2
Investigation Dates: 3
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Named as the author of the complaint investigation report |
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Jun 27, 2025
Visit Reason
This document serves as a license renewal for the assisted living center known as Legend at Mingo Road, certifying the facility's authorization to operate.
Findings
The license renewal certifies that Mingo Road ALF, LLC is authorized to conduct and maintain an assisted living center with a maximum capacity of 90 beds, effective from August 29, 2025, through August 29, 2028.
Report Facts
Maximum licensed capacity: 90
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 0
Jun 2, 2025
Visit Reason
The complaint investigation was conducted due to an allegation that the center failed to ensure adequate supervision to prevent elopement.
Findings
The investigation found that all entrance and exit doors require a code accessible only to employees, and the memory care gate is locked with similar access controls. Interviews and observations indicated no deficiencies were cited.
Complaint Details
The complaint alleged inadequate supervision to prevent elopement. The investigation was unannounced and included observations, interviews with residents, family members, and staff, and review of records. No deficiencies were substantiated.
Report Facts
Facility Census: 71
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Author of the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 0
Apr 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that the center failed to have and/or implement an effective pest control program.
Findings
The investigation found no deficiencies; residents, family, and staff reported no issues with bugs, and the facility maintained regular pest control measures including quarterly inspections and treatments by a pest control company.
Complaint Details
The complaint alleged failure to have and/or implement an effective pest control program. The investigation was unannounced and included observations, interviews, and record reviews. No substantiated deficiencies were found.
Report Facts
Sampled residents: 3
Facility census: 68
Inspection Report
Renewal
Census: 77
Deficiencies: 0
Dec 21, 2023
Visit Reason
A relicensure survey was conducted from December 20, 2023 through December 21, 2023 to assess compliance for renewal of the facility's license.
Findings
No deficiencies were cited during the relicensure survey conducted at the Assisted Living Center.
Report Facts
Facility Census: 77
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Aug 24, 2022
Visit Reason
This document is a renewal license issued to Mingo Road ALF, LLC to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility is authorized to operate as an Assisted Living Center with a maximum capacity of 90 beds. No deficiencies or findings are noted in this document.
Report Facts
Maximum licensed beds: 90
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Feb 10, 2022
Visit Reason
This document is a license renewal issued to Mingo Road ALF, LLC for the operation of an Assisted Living Center.
Findings
The document certifies that the facility is licensed to conduct and maintain an Assisted Living Center with a maximum capacity of 90 beds. It is a renewal license effective from 08/29/2021 to 08/28/2022.
Report Facts
Maximum licensed beds: 90
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Aug 29, 2021
Visit Reason
This document is a renewal license issued to Mingo Road ALF, LLC to conduct and maintain an Assisted Living Center, indicating the renewal of the facility's license.
Findings
The document certifies that the facility is licensed to operate with a maximum capacity of 90 beds. It does not contain inspection findings or deficiencies.
Report Facts
Maximum licensed beds: 90
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Aug 29, 2020
Visit Reason
This document is a renewal license issued to Mingo Road ALF, LLC to conduct and maintain an Assisted Living Center at the specified location.
Findings
The document certifies the facility's license renewal with a maximum capacity of 90 beds, effective from 08/29/2020 to 08/28/2021.
Report Facts
Maximum licensed beds: 90
Inspection Report
Routine
Census: 49
Deficiencies: 0
Aug 13, 2020
Visit Reason
A COVID-19 Special Focus Infection Control Survey was conducted to assess compliance with infection control regulations and CMS/CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented the CMS and CDC recommended practices to prepare for COVID-19. No deficiencies were cited.
Report Facts
Total residents: 49
Inspection Report
Abbreviated Survey
Census: 100
Deficiencies: 0
May 6, 2020
Visit Reason
A COVID-19 Special Focus Infection Control Survey was conducted to assess the facility's compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with infection control regulations and has implemented CDC recommended practices to prepare for COVID-19. No deficiencies were cited.
Report Facts
Total residents: 100
Inspection Report
Re-Inspection
Census: 62
Deficiencies: 1
Oct 24, 2019
Visit Reason
A state licensure survey was conducted to assess compliance with regulations at the assisted living center.
Findings
The facility failed to ensure that comprehensive assessments included a personal interview signature for residents #3, #7, and #8, representing a pattern of deficient practice with potential for more than minimal harm.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The assisted living center failed to ensure each comprehensive assessment included a signature indicating a personal interview had been conducted between the resident or representative and the person completing the assessment for residents #3, #7, and #8. | E |
Report Facts
Census: 62
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Dyson | Administrator | Named as facility administrator in multiple letters and signed the plan of correction |
| Sue Davis | Enforcement Coordinator | Signed enforcement and follow-up letters from Oklahoma State Department of Health |
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed letter accepting plan of correction |
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Jul 16, 2019
Visit Reason
The document is a renewal license issued to Mingo Road ALF, LLC for the assisted living center, certifying the facility to continue operation with a license effective from August 29, 2019 to August 28, 2020.
Findings
The renewal license was issued following review and acceptance of required documents including residency agreements and policies. No deficiencies or violations are noted in the document.
Report Facts
Maximum licensed beds: 90
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