Inspection Reports for
Magnolia Assisted Living of Edmond

The facility failed to submit the Alzheimer's dementia and other forms of dementia special care disclosure form to the Oklahoma State Department of Health, residents and/or their representatives, and the State Long-Term Care Ombudsman. Additionally, the required Alzheimer's dementia disclosure form was not posted in a conspicuous location for residents and their representatives to view. The facility marketed itself as providing memory care but was not licensed as such.

The complaint investigation was triggered by allegations that the facility failed to ensure residents were free from abuse, failed to provide adequate nutrition, failed to operate according to state law, and failed to maintain fire sprinklers in proper working order. The investigation included interviews, observations, and record reviews. Abuse allegations were not substantiated but the facility failed to provide abuse training and failed to report abuse incidents to appropriate authorities.

The investigation found that the facility failed to ensure residents were free from abuse and failed to report abuse allegations to local law enforcement and the Nurse Aide Registry. The facility was found to have adequate nutrition and fire safety measures were promptly repaired. The facility did not provide additional abuse training following the allegations.

The complaint alleged failure to ensure residents were not physically, verbally, or psychosocially abused. The investigation was unannounced and included interviews, observations, and record reviews. Verbal abuse by a staff member was substantiated and the staff member was terminated.

The investigation found deficiencies including expired food service training for one dietary staff, lack of CPR and first aid training for four staff members, and substantiated verbal abuse by a staff member towards two residents. The facility took corrective actions including staff termination and in-service training.

The complaint investigation was based on allegations that the center failed to have sufficient staffing to meet residents' needs and failed to ensure residents were treated with dignity and respect. The investigation included observations, interviews, and record reviews.

The investigation found deficiencies including failure to label and date food items in the refrigerator and failure to secure medications properly. The facility was found to have potential for more than minimal harm. The medication cart was left unlocked with keys unattended. The applesauce in the refrigerator was expired.

Two allegations were investigated: 1) substantiated deficient practice related to failure to care according to care plans and intervene for residents with changes in condition; 2) unsubstantiated related to missing physician orders for medications.

The facility failed to provide adequate and appropriate medical care to two residents, including failure to assess changes in condition, monitor residents on blood thinners, coordinate care with third party providers, administer physician-ordered pain medications, monitor weight loss, and document accurately. Immediate jeopardy was identified but later removed after corrective actions were implemented.

Complaint #OK00055765 was substantiated for allegations that the center failed to ensure residents received adequate medical care and failed to perform a thorough admission assessment. The investigation included unannounced on-site visits from 03/25/21 to 03/30/21.

The investigation found deficiencies including failure to provide services as stated in residents' personal service plans, inadequate registered nurse supervision resulting in delayed lab work and treatment for a resident with a urinary tract infection and dehydration, failure to notify legal representatives of changes in condition and medication changes for multiple residents, and failure to coordinate care with third party providers.

Deficient practices were identified related to medication staffing, resident rights regarding medical care and reasonable accommodation, and reporting to the Department. The facility failed to ensure medications were reviewed monthly by an RN or pharmacist for sampled residents and failed to report certain incidents and monitor residents' needs adequately.