Deficiencies (last 7 years)
Deficiencies (over 7 years)
2.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
36 residents
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 2
Date: Oct 30, 2025
Visit Reason
A State Licensure survey with complaint investigations was conducted at Lyndale At Edmond to investigate multiple allegations including medication administration errors, falsification of medical records, untimely incontinent care, lack of necessary medical equipment for safe transfers, inaccessible call lights, failure to provide timely refunds, failure to allow resident return after hospital stay, and inadequate maintenance of air conditioning.
Complaint Details
Multiple complaints were investigated including medication administration errors, falsification of records, untimely incontinent care, lack of medical equipment for safe transfers, inaccessible call lights, failure to provide refunds timely, failure to allow resident return after hospital stay, and inadequate air conditioning maintenance. Investigations included observations, interviews, and record reviews. A sample of eight residents was reviewed for each complaint.
Findings
The investigation found deficiencies related to food storage practices, failure to conduct personal interviews for comprehensive assessments, and other regulatory violations. Deficiencies were cited as a result of the complaint investigations. The facility submitted plans of correction which were initially rejected for lack of detail but later accepted after amendments. A revisit confirmed that all deficiencies were corrected by December 15, 2025.
Deficiencies (2)
Failed to ensure used food items were labeled with opened/used date and properly secured in 2 kitchens.
Failed to include a personal interview between the resident and/or resident representative for 1 of 8 sampled residents during comprehensive assessments.
Report Facts
Facility Census: 36
Number of residents sampled: 8
Date of inspection: Oct 30, 2025
Date of correction: Dec 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Signed enforcement letters and communicated with facility regarding plans of correction and compliance. |
| Christi Dobbs | Administrator | Facility administrator named in correspondence and responsible for plan of correction. |
| Resident Services Director | Interviewed regarding resident assessments and signature requirements; involved in auditing assessments. | |
| Culinary Director | Interviewed regarding food storage practices and responsible for food safety audits. |
Inspection Report
Renewal
Capacity: 52
Deficiencies: 0
Date: Aug 1, 2025
Visit Reason
The document is a license renewal for the assisted living center 'Lyndale at Edmond' located at 1225 Lakeshore Drive, Edmond, OK.
Findings
This document certifies that the facility is licensed to operate as an assisted living center with a maximum capacity of 52 beds. It confirms the renewal of the license effective from August 1, 2025, through August 1, 2028.
Report Facts
Maximum licensed capacity: 52
Inspection Report
Original Licensing
Capacity: 52
Deficiencies: 0
Date: Feb 1, 2025
Visit Reason
This document serves as the initial licensing certification for the assisted living center located at 1225 Lakeshore Drive, Edmond, OK.
Findings
The facility has been licensed to conduct and maintain an assisted living center with a maximum capacity of 52 beds, effective from February 1, 2025, through July 31, 2025.
Report Facts
Maximum licensed capacity: 52
Inspection Report
Original Licensing
Capacity: 52
Deficiencies: 0
Date: Feb 1, 2025
Visit Reason
The document is an initial licensing inspection and certification for the assisted living center Lyndale at Edmond, issued due to a change of ownership.
Findings
The report certifies that the facility is licensed to operate as an assisted living center with a maximum capacity of 52 beds. No deficiencies or violations are noted in the document.
Report Facts
Maximum licensed capacity: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hale | Administrative Programs Manager | Signed letter regarding initial licensing and change of ownership |
| Keith Reed | Commissioner of Health | Official issuing the license |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 6
Date: May 1, 2024
Visit Reason
A licensure survey with complaint investigations was conducted due to allegations including unsanitary food service, ineffective infection control for Covid-19, improper food handling, failure to assess and intervene timely for changes in condition, inadequate staff, and medication management issues.
Complaint Details
The complaint investigations included allegations of unsanitary food service, ineffective infection control for Covid-19, improper food handling, failure to assess and intervene timely for changes in condition, inadequate staff, and medication management issues. Investigations involved observations, interviews, and record reviews.
Findings
Multiple deficiencies were found including unsanitary kitchen conditions, failure to complete timely admission and comprehensive assessments, lack of CPR and first aid training for staff, improper personal care practices leading to cross-contamination, improper transfer techniques, unsecured medication carts, and inaccurate clinical records.
Deficiencies (6)
Failed to ensure sanitation logs were implemented and kept; kitchen was not clean and sanitary; food items were not closed, dated, and labeled.
Failed to complete admission assessments within 30 days before or at time of admission for two residents.
Failed to complete comprehensive assessments within 14 days of admission for one resident.
Failed to ensure direct care staff were trained in CPR and first aid for two of five sampled staff.
Failed to provide personal care preventing cross-contamination for four residents, failed to use proper transfer techniques for one resident, and failed to secure medication carts.
Failed to maintain accurate clinical records for one resident; discrepancy between DNR status in electronic and hard copy records.
Report Facts
Facility census: 36
Number of residents sampled: 8
Date of inspection: May 1, 2024
Date of revisit: Jul 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kara Bolino | Administrator | Named as facility administrator in multiple documents |
| Lisa Calvin | Enforcement Analyst II | Signed enforcement and follow-up letters |
| CNA #1 | Observed providing personal care without proper hand hygiene | |
| CNA #2 | Observed transferring resident without gait belt | |
| CNA #3 | Lacked CPR and first aid training | |
| CNA #4 | Lacked CPR and first aid training | |
| Dietary Manager | Interviewed regarding kitchen sanitation and food labeling deficiencies | |
| Executive Director | Provided statements regarding assessments, staffing, and equipment | |
| ACMA #1 | Advanced Certified Medication Aide | Observed assisting with resident transfer and medication cart security |
Inspection Report
Renewal
Census: 37
Deficiencies: 2
Date: Apr 6, 2023
Visit Reason
A relicensure survey was conducted from April 4 through April 6, 2023, in conjunction with complaint investigations. The visit included a licensure survey and complaint investigations at the assisted living center.
Complaint Details
Two complaint investigations were conducted from April 4 to April 6, 2023. Allegations included failure to implement effective infection control procedures and failure to ensure medications were not misappropriated. Both allegations were unsubstantiated after investigation.
Findings
Deficiencies were found related to food storage, preparation, and service, including failure to label, date, and store food properly, and failure to provide palatable food as per the service contract. Complaint investigations related to infection control and medication misappropriation were unsubstantiated. The facility was found to be in substantial compliance upon revisit.
Deficiencies (2)
Failed to label, date, and store food according to Chapter 257 Food Service Regulations and company policy.
Failed to provide palatable food according to company service contract for four residents who complained about the chicken served at lunch.
Report Facts
Census: 37
Deficiencies cited: 2
Plan of Correction Completion Date: Jun 1, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Swaim | RN | Signed complaint investigation reports |
| Lisa Calvin | Enforcement Analyst | Signed enforcement and revisit letters |
| Tempal Killman | Administrative Assistant II | Signed acceptance letter of plan of correction |
Inspection Report
Renewal
Capacity: 52
Deficiencies: 0
Date: Mar 15, 2022
Visit Reason
This document is a license renewal issued to S TCG Edmond Lake Campus, LLC for the operation of an Assisted Living Center.
Findings
The license certifies that the facility is authorized to conduct and maintain an Assisted Living Center with a maximum capacity of 52 beds, effective from 2022-03-15 to 2025-03-14.
Report Facts
Maximum licensed beds: 52
Inspection Report
Renewal
Capacity: 52
Deficiencies: 0
Date: Mar 15, 2021
Visit Reason
This document serves as a renewal license certifying that S TCG Edmond Lake Campus, LLC is licensed to conduct and maintain an Assisted Living Center at the specified location.
Findings
The license is issued pursuant to Oklahoma statutes and state board rules, authorizing operation of the facility with a maximum capacity of 52 beds, effective from 03/15/2021 through 03/14/2022.
Report Facts
Maximum licensed beds: 52
Inspection Report
Renewal
Capacity: 52
Deficiencies: 0
Date: Mar 9, 2021
Visit Reason
This document is a renewal license issued to S TCG Edmond Lake Campus, LLC for the operation of an Assisted Living Center named Lyndale at Edmond.
Findings
The license certifies that the facility is authorized to conduct and maintain an Assisted Living Center with a maximum capacity of 52 beds. The license is effective from 03/15/2020 and expires on or before 03/14/2021.
Report Facts
Maximum licensed beds: 52
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 2
Date: Jul 7, 2020
Visit Reason
A COVID-19 focused infection control survey was conducted to assess compliance with infection control practices related to COVID-19, including use of personal protective equipment and resident monitoring.
Findings
The facility failed to ensure staff wore appropriate PPE in isolation/quarantine rooms and failed to adequately assess residents for signs and symptoms of COVID-19, potentially affecting all 37 residents.
Deficiencies (2)
Failed to ensure staff members wore appropriate personal protective equipment (PPE) in isolation/quarantine resident rooms for two of three sampled residents.
Failed to ensure residents were assessed for signs and symptoms of COVID-19; no documentation of symptom assessment was found.
Report Facts
Total residents: 37
Deficiencies cited: 2
Inspection Report
Renewal
Census: 41
Deficiencies: 3
Date: Sep 30, 2019
Visit Reason
A re-licensure survey was conducted on 09/25/19, 09/27/19, and 09/30/19 to assess compliance and licensing requirements at the assisted living facility.
Findings
Deficiencies were identified related to certified medication aide skills validation, food storage and kitchen cleanliness, and medication administration documentation. The deficiencies had the potential for more than minimal harm to residents.
Deficiencies (3)
Failed to ensure certified medication aides' skills were validated prior to medication administration for 3 sampled CMAs.
Failed to ensure compliance with food service establishment regulations regarding cleanliness of utensils, dishware, and kitchen surfaces.
Failed to maintain accurate written records of medications administered for 4 of 10 sampled residents.
Report Facts
Census: 41
Number of sampled CMAs with unvalidated skills: 3
Number of sampled residents with medication administration errors: 4
Survey dates: 3
Inspection Report
Renewal
Capacity: 52
Deficiencies: 0
Date: May 21, 2019
Visit Reason
This document is a license renewal issued to S TCG Edmond Lake Campus, LLC for the operation of an Assisted Living Center named Lyndale at Edmond.
Findings
The license certifies that the facility is authorized to conduct and maintain an Assisted Living Center with a maximum capacity of 52 beds. No deficiencies or findings are noted in this document.
Report Facts
Maximum licensed beds: 52
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Date: Mar 20, 2019
Visit Reason
An abbreviated survey was conducted on March 20, 2019, to investigate complaint #OK00053459 regarding resident privacy and freedom from abuse.
Complaint Details
The allegation that the center failed to protect the resident’s right to privacy and ensure freedom from abuse was substantiated. No deficient practice was cited. The investigation included observations, interviews, and review of incident reports and staff training.
Findings
Deficient practice was substantiated related to the allegation of failure to protect resident privacy, but no deficient practice was cited. Staff training and corrective actions were documented, and no further action was required.
Report Facts
Resident census: 46
Surveyor Team Leader ID: 36967
Surveyor On-Site Hours: 3.75
Surveyor Travel Hours: 4
Surveyor Pre-Survey Preparation Hours: 0.5
Surveyor Off-Site Report Preparation Hours: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kay Determan | Long Term Care Enforcement Reviewer | Signed cover letter for the inspection report |
| Teena Cornett | RN | Signed investigative report as survey manager |
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