Inspection Reports for
Luxe Life Norman Al, LLC
1060 RAMBLING OAKS DRIVE, NORMAN, OK, 73072
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
4.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Oklahoma average
Oklahoma average: 4.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
65 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 2
Date: Oct 9, 2025
Visit Reason
A State Licensure survey with complaint investigations was conducted due to allegations of inadequate staffing, failure to ensure residents were free from abuse/illicit behavior, failure to provide care according to contracted services, and failure to maintain accurate clinical records.
Complaint Details
The complaint investigation included allegations that the facility failed to have adequate staffing to meet residents' needs, failed to ensure residents were free from abuse/illicit behavior, failed to provide care according to contracted services, and failed to ensure clinical records were accurate. The investigation included observations, interviews, and record reviews.
Findings
The investigation found deficiencies including failure to ensure direct care staff were trained in first aid and CPR, and failure to maintain accurate clinical records for one resident. The facility was found to have 65 residents at the time of the survey.
Deficiencies (2)
Failed to ensure direct care staff were trained in first aid and CPR for 2 of 5 sampled personnel files.
Failed to maintain accurate clinical records for 1 of 11 residents sampled.
Report Facts
Facility Census: 65
Sampled residents: 11
Sampled personnel files: 5
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 27, 2025
Visit Reason
An off-site paper revisit was conducted to verify correction of deficiencies cited during a prior Complaint Investigation on April 20, 2025.
Complaint Details
This visit was a follow-up to a Complaint Investigation conducted on April 20, 2025. The deficiencies cited during that investigation have been corrected.
Findings
The facility was found to be in substantial compliance, with all previously cited deficiencies corrected effective May 18, 2025.
Report Facts
Date of prior complaint investigation: April 20, 2025
Date of correction effective: May 18, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tempal Killman | Enforcement Analyst | Signed the follow-up revisit report letter |
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 3
Date: Apr 20, 2025
Visit Reason
A complaint investigation was conducted due to allegations that the center failed to prevent abuse, provide adequate hydration, and maintain adequate staffing to meet resident needs.
Complaint Details
The complaint investigation was initiated due to allegations of physical, verbal, or psychosocial abuse, inadequate hydration for dependent residents, and inadequate staffing to meet resident needs. The investigation included observations, interviews, and record reviews. No abuse or dehydration issues were found, but staffing and assessment deficiencies were identified.
Findings
The investigation found no evidence of abuse or dehydration complaints, but identified failure to ensure minimum staffing levels during one of three shifts observed and deficiencies in admission and annual assessments for some residents.
Deficiencies (3)
Failed to ensure an admission assessment was completed within 30 days before or at the time of admission for 1 of 6 residents sampled.
Failed to ensure comprehensive assessments were completed every 12 months for 2 of 6 residents sampled.
Failed to ensure a minimum of 1 direct care staff was on duty at all times within a unit designed to prevent or limit resident access for 3 of 6 sampled residents.
Report Facts
Facility Census: 59
Residents sampled: 6
Staffing minimum: 1
Staffing minimum: 2
Inspection Report
Renewal
Capacity: 86
Deficiencies: 0
Date: Apr 2, 2025
Visit Reason
This document serves as a license renewal for Luxe Life Norman AL, LLC to conduct and maintain an Assisted Living Center located at 1060 Rambling Oaks Drive, Norman, OK.
Findings
The license is issued pursuant to Oklahoma statutes and state board regulations, authorizing the facility to operate with a maximum capacity of 86 beds. The license is effective from 2025-04-02 through 2026-08-02.
Report Facts
Maximum licensed capacity: 86
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 0
Date: Oct 22, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the center failed to ensure residents were not physically, verbally, or psychosocially abused, and failed to ensure residents were not abused and/or neglected and failed to report injuries of unknown origin to the Oklahoma State Department of Health.
Complaint Details
The complaint allegations included failure to prevent physical, verbal, or psychosocial abuse, failure to prevent abuse and/or neglect, and failure to report injuries of unknown origin. The investigation was unannounced and included a sample of three residents. The complaint was not substantiated as no deficiencies were cited.
Findings
The investigation included observations, interviews, and record reviews. Residents were observed to be clean, dressed appropriately, and treated with dignity and respect. Staff was observed assisting residents and redirecting them as needed. Resident records and policies were reviewed. No deficiencies were cited during the investigation.
Report Facts
Facility Census: 62
Complaint Investigation Dates: 2024-10-21 to 2024-10-22
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 0
Date: Jul 29, 2024
Visit Reason
A complaint investigation was conducted due to allegations that the center failed to prevent abuse, ensure privacy, notify representatives of changes in condition, provide timely oral care, and maintain adequate staffing.
Complaint Details
The complaint alleged failure to prevent physical, verbal, or psychosocial abuse; failure to investigate and report abuse allegations; failure to ensure privacy; failure to notify residents' representatives of changes in condition; failure to provide timely oral care; and failure to maintain adequate staffing. The investigation found no deficiencies.
Findings
The investigation included observations, interviews, and record reviews. No deficiencies were cited as a result of the complaint investigation.
Report Facts
Facility Census: 61
Complaint Investigation Dates: 2024-07-28 to 2024-07-29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvihn | Enforcement Analyst II | Author of the report and contact for questions regarding the complaint investigation |
Inspection Report
Renewal
Census: 60
Deficiencies: 12
Date: Jun 28, 2024
Visit Reason
A relicensure survey was conducted from 06/26/24 through 06/28/24 at Luxe Life Norman AL, LLC to assess compliance with assisted living center regulations.
Findings
The facility was found deficient in multiple areas including failure to describe nursing supervision during smoking, socialization and activities in service plans, evacuation provisions, obtaining required signatures on assessments, hot water temperature safety, medication review and administration, staff dementia training, resident service contract completeness, and criminal background checks.
Deficiencies (12)
Failed to describe provisions for nursing supervision during smoking in the Individualized Service Plan for one resident.
Failed to describe provisions for socialization, activities, and exercise in the Individualized Service Plan for five residents.
Failed to describe provisions to meet evacuation needs in the Individualized Service Plan for seven residents.
Failed to obtain physician or registered nurse signature on comprehensive assessments for seven residents.
Failed to ensure comprehensive assessments included personal interviews for eight residents.
Failed to ensure hot water temperatures were within safe limits; temperatures exceeded 115 degrees Fahrenheit in multiple resident rooms.
Failed to ensure medications were reviewed monthly by RN or pharmacist for ten residents.
Failed to ensure staff assigned to memory care unit received dementia training for eight of thirteen staff reviewed.
Resident service contracts did not contain the assisted living center's address for ten residents.
Resident service contracts did not contain grievance procedures for ten residents.
Failed to ensure residents were provided medication as ordered for one resident during medication administration observation.
Failed to complete criminal history background check and offender registry check on hire for one staff member.
Report Facts
Facility Census: 60
Hot water temperature: 121.7
Hot water temperature: 140.5
Hot water temperature: 130.2
Medication review months missing: 9
Staff without dementia training: 8
Staff background check delay: 114
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMA #5 | Certified Medication Aide | Staff member with delayed criminal background and offender registry check |
| CMA #6 | Certified Medication Aide | Observed administering incorrect medication dosage to Resident #5 |
| Lisa Calvin | Enforcement Analyst II | Signed enforcement letters and communications |
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 1
Date: Mar 13, 2024
Visit Reason
A complaint investigation was conducted due to allegations including failure to assess, monitor, and intervene timely for changes in condition, failure to implement effective pharmacy procedures, failure to notify residents' representatives of changes, and failure to ensure adequate staffing and medication administration.
Complaint Details
The complaint investigation included allegations of failure to assess, monitor, and intervene timely for changes in condition; failure to implement effective pharmacy procedures; failure to notify residents' representatives of changes; failure to ensure adequate staffing; failure to ensure medical records were not falsified; failure to ensure care and treatment according to plan; and failure to report falls with major injury.
Findings
The investigation found deficiencies in medication administration, including failure to administer medications as ordered by physicians for multiple residents, failure to maintain accurate medication records, and failure to notify physicians of missed medications. Staffing levels and care provision were also found inadequate in some respects.
Deficiencies (1)
Failure to ensure residents were provided medication as ordered by the physician for three of four sampled residents.
Report Facts
Facility census: 47
Residents sampled: 5
Medication administration failures: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Signed enforcement letters and correspondence related to the complaint investigation |
| Mollie Wooldridge | Administrator | Facility administrator at time of complaint investigation |
| Marcy Davis | Administrator | Facility administrator at time of plan of correction acceptance and revisit |
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 8
Date: May 23, 2023
Visit Reason
A state licensure survey with complaint investigations was conducted at Luxe Life Norman AL, LLC on May 23, 2023, due to allegations including failure to administer medications according to physician's orders, medication misappropriation, and failure to report results to the State Agency.
Complaint Details
The complaint investigations included allegations of failure to administer medications according to physician's orders, medication misappropriation, falsified documentation related to narcotic medication, and failure to report results to the State Agency.
Findings
The investigation found multiple deficiencies including failure to ensure kitchen/dining area cleanliness and food labeling, use of non-pasteurized eggs, failure to maintain quarterly QA committee meetings, failure to follow physician orders for medication administration and monitoring, failure to report misappropriation allegations, failure to maintain accurate medication administration records, failure to maintain resident records for at least five years, and failure to coordinate care with home health services.
Deficiencies (8)
Kitchen/dining area was not kept clean and maintained in good repair; food products were not properly labeled.
Whole eggs with shells intact were not pasteurized for eggs served not thoroughly cooked.
Quality Assurance committee failed to meet at least quarterly.
Failure to ensure physician orders were followed for blood pressure monitoring and medication administration.
Failure to report an allegation of misappropriation to the state agency.
Failure to maintain accurate medication administration records including schedule II medication inventory and timely administration.
Failure to maintain resident records for at least five years after discharge.
Failure to ensure coordination of care with home health services including documentation of wound care visits.
Report Facts
Residents: 53
Medication administration errors: 26
Medication administration errors: 30
Medication administration errors: 3
Medication administration errors: 21
Medication administration errors: 11
Medication administration errors: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Cooper | Health Facility Surveyor | Signed the investigative report dated 2023-05-24. |
| Lisa Calvin | Enforcement Analyst | Signed enforcement letters regarding plan of correction deficiencies and revisit results. |
| Terri D. Burkhart | BSN RN CHFS | Signed investigative report dated 2023-05-24. |
| Kc Claunch | LPN CHFSII | Signed investigative report dated 2023-05-23. |
| Mollie Wooldridge | Administrator | Signed multiple plans of correction and correspondence. |
Inspection Report
Original Licensing
Capacity: 86
Deficiencies: 0
Date: Feb 2, 2023
Visit Reason
This document certifies that Luxe Life Norman AL, LLC is licensed to conduct and maintain an Assisted Living Center, indicating an initial licensing inspection.
Findings
The document serves as a license certifying the facility's authorization to operate as an Assisted Living Center with a maximum capacity of 86 beds.
Report Facts
Maximum licensed beds: 86
Inspection Report
Renewal
Capacity: 86
Deficiencies: 0
Date: Jan 10, 2023
Visit Reason
This document serves as a license renewal for Wickshire Norman OpCo LLC to conduct and maintain an Assisted Living Center at the specified location.
Findings
The license renewal certifies that the facility meets the provisions of the Oklahoma Statutes and State Board of Health regulations, allowing it to operate with a maximum capacity of 86 beds.
Report Facts
Maximum licensed beds: 86
Notice
Capacity: 86
Deficiencies: 0
Date: Mar 16, 2022
Visit Reason
This document serves as a license renewal notice certifying that Wickshire Norman OpCo LLC is licensed to conduct and maintain an Assisted Living Center at the specified location.
Findings
The document certifies the renewal of the assisted living center license with a maximum capacity of 86 beds, effective from 11/11/2021 to 11/10/2022.
Report Facts
Maximum licensed beds: 86
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 9, 2022
Visit Reason
The inspection was conducted as a complaint investigation at Wickshire Assisted Living facility on February 8 and 9, 2022, to investigate multiple complaints related to infection control, care and services, residents' rights to visitation, medication administration, and care as contracted.
Complaint Details
The complaint investigation included allegations that the center failed to ensure staff followed proper infection control procedures, failed to provide care and services as contracted, failed to ensure residents' rights to visitation, failed to ensure medications were safely administered, and failed to provide care as contracted. All allegations were unsubstantiated (US).
Findings
The investigation found all allegations to be unsubstantiated with no deficiencies cited. The facility was observed to be clean, well-staffed, and residents were treated with dignity and respect. Adequate infection control measures were in place, and medications were safely administered according to resident contracts.
Report Facts
Complaint investigations: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donna Ahlborn | RN MSN Clinical Health Facility Surveyor | Named as the surveyor completing the complaint investigation reports |
| Katie Stagner | Long Term Care Enforcement Reviewer | Named as the author of the cover letter for the complaint investigation report |
Inspection Report
Original Licensing
Capacity: 86
Deficiencies: 0
Date: May 14, 2021
Visit Reason
This document is an initial licensing certificate issued to Wickshire Norman OpCo LLC to conduct and maintain an Assisted Living Center.
Findings
The document certifies the facility's license to operate as an Assisted Living Center with a maximum capacity of 86 beds. No inspection findings or deficiencies are stated.
Report Facts
Maximum licensed beds: 86
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 0
Date: May 3, 2021
Visit Reason
The inspection was conducted as a complaint investigation for complaint #OK00056975 in conjunction with a COVID-19 Special Focus Infection Control Survey to determine compliance with infection prevention and control practices.
Complaint Details
The complaint alleged inadequate staffing to meet residents' needs. The allegation was unsubstantiated (US) after investigation including observations, interviews, and record reviews.
Findings
No deficiencies were cited during the investigation. The allegation that the facility failed to have adequate staff to meet residents' needs was unsubstantiated. Observations showed wound care dressings were clean and intact, residents were clean, staff followed physician orders, and hospice care was provided as contracted.
Report Facts
Total Residents: 33
Investigation Dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Swaim | RN | Signed the report and involved in the investigation |
Inspection Report
Renewal
Capacity: 86
Deficiencies: 0
Date: Feb 7, 2021
Visit Reason
This document serves as a renewal license certifying that ELCM Abington AL Leasing, LLC is licensed to conduct and maintain an Assisted Living Center at the specified location.
Findings
The license certifies compliance with the provisions of the Oklahoma Statutes and State Board of Health regulations, authorizing operation of the facility with a maximum capacity of 86 beds.
Report Facts
Maximum licensed beds: 86
Inspection Report
Abbreviated Survey
Census: 47
Deficiencies: 0
Date: Jul 10, 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 July 10, 2020.
Inspection Report
Renewal
Capacity: 86
Deficiencies: 0
Date: May 4, 2020
Visit Reason
This document serves as a renewal license certifying that ELCM Abington AL Leasing, LLC is licensed to conduct and maintain an Assisted Living Center named Rambling Oaks Assisted Living.
Findings
The license is issued pursuant to Oklahoma statutes and state board of health regulations, authorizing the facility to operate with a maximum capacity of 86 beds. No deficiencies or findings are noted in this document.
Report Facts
Maximum licensed beds: 86
Inspection Report
Renewal
Census: 51
Deficiencies: 6
Date: Oct 30, 2019
Visit Reason
A re-licensure survey was conducted from October 28, 2019 through October 30, 2019 at Rambling Oaks Assisted Living to assess compliance with state regulations and licensing requirements.
Findings
Deficiencies were found related to medication aide skills validation, food storage and preparation, conduct of resident assessments, medication administration, resident rights, and hot water temperature standards. The deficiencies represented the potential for more than minimal harm.
Deficiencies (6)
Failed to have a licensed nurse validate certified medication aide skills for 11 of 12 certified medication aides.
Failed to ensure compliance with food service regulations including kitchen equipment cleanliness, food storage, and meal service.
Failed to ensure comprehensive resident assessments included personal interviews with residents or their representatives for sampled residents.
Failed to administer medications according to physician orders for sampled residents.
Failed to maintain accurate and organized clinical records for residents.
Failed to ensure hot water temperatures at faucets accessible to residents did not exceed 115 degrees Fahrenheit.
Report Facts
Current census: 51
Certified medication aides lacking skills validation: 11
Residents affected by food storage deficiency: 51
Residents with incomplete assessments: 8
Residents with medication administration issues: 1
Residents with incomplete or inaccurate records: 4
Residents with hot water temperature issues: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Holly Jerman-Miller | Administrator | Named as facility administrator receiving the inspection report |
| Sue Davis | Enforcement Coordinator | Signed enforcement and follow-up letters |
| Katie Stagner | Enforcement Reviewer | Signed acceptance and revisit letters |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 2
Date: May 23, 2019
Visit Reason
A complaint survey was conducted on May 23, 2019, at Rambling Oaks Assisted Living to investigate complaint #OK00053742 regarding failure to provide an abuse-free environment.
Complaint Details
The allegation that the center failed to provide an abuse-free environment was unsubstantiated. The resident's injury was of unknown origin and abuse could not be substantiated. Noncompliance was identified related to abuse policy and training.
Findings
The allegation of abuse was unsubstantiated; however, deficiencies were found related to the center's abuse and neglect policy and abuse training. The facility failed to implement the abuse and neglect policy and failed to provide proper training documentation for staff.
Deficiencies (2)
The center failed to implement the abuse and neglect policy when an allegation of abuse was reported, resulting in isolated potential for more than minimal harm.
The center failed to provide written documentation of abuse and neglect training for 3 of 3 sampled long term care aides within 90 days of employment.
Report Facts
Census: 51
Deficiencies cited: 2
Date of incident: May 9, 2019
Date for correction: Aug 5, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julie Edmiaston | RN, BSN, Survey Manager | Signed the investigative report dated 06/05/2019. |
| Holly Miller | Administrator | Facility administrator named in the report. |
Inspection Report
Renewal
Capacity: 86
Deficiencies: 0
Date: May 14, 2019
Visit Reason
This document is a license renewal issued by the Oklahoma State Department of Health for the assisted living center Rambling Oaks Assisted Living.
Findings
The document certifies that ELCM Abington AL Leasing, LLC is licensed to conduct and maintain an assisted living center with a maximum capacity of 86 beds. The license is effective from 02/07/2019 to 02/06/2020.
Report Facts
Maximum licensed beds: 86
Viewing
Loading inspection reports...
