Inspection Reports for Oxford Springs Tulsa Al LLC

8231 SOUTH MINGO ROAD, TULSA, OK, 74133

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

94% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2021
2022
2023
2024
2025

Census

Latest occupancy rate 35 residents

Based on a November 2025 inspection.

Census over time

27 30 33 36 39 42 Apr 2019 Mar 2025 Nov 2025
Inspection Report Complaint Investigation Census: 35 Deficiencies: 1 Nov 5, 2025
Visit Reason
A complaint investigation was conducted due to allegations that the facility failed to ensure residents were provided care according to their plan of care to prevent falls with injuries and failed to ensure residents were safely transferred.
Findings
The investigation found that the facility failed to provide adequate nursing supervision to ensure safe transfer needs were met for one resident, resulting in a fall and hospitalization. The facility's policy required two staff for all transfers, but one staff member transferred the resident alone, leading to injury and subsequent death. The staff member was terminated. A revisit confirmed all deficiencies were corrected by December 31, 2025.
Complaint Details
The complaint alleged the facility failed to provide care according to the plan of care to prevent falls with injuries and failed to ensure residents were safely transferred. The investigation substantiated these allegations.
Severity Breakdown
SS=G: 1
Deficiencies (1)
DescriptionSeverity
Failed to provide adequate nursing supervision to ensure safe transfer needs were met for 1 of 3 sampled residents.SS=G
Report Facts
Facility Census: 35 Investigation Dates: 10/27/25, 10/28/25, 11/05/25 Revisit Date: Jan 12, 2026 Correction Completion Date: Dec 31, 2025
Employees Mentioned
NameTitleContext
Michelle NettersAdministratorNamed as facility administrator in multiple documents
Lisa CalvinEnforcement Analyst IISigned enforcement and notification letters
CNA #2Staff member who failed to follow transfer policy and was terminated
Inspection Report Renewal Census: 34 Deficiencies: 0 Mar 11, 2025
Visit Reason
A relicensure survey was conducted from March 10, 2025 through March 11, 2025 to assess compliance for license renewal at the Assisted Living Center.
Findings
No deficiencies were cited during the relicensure survey conducted at the facility.
Report Facts
Facility Census: 34
Inspection Report Renewal Capacity: 43 Deficiencies: 0 May 7, 2024
Visit Reason
This document serves as a renewal license for the assisted living center Oxford Springs Tulsa AL LLC, certifying the facility's authorization to operate for the period beginning May 7, 2024, through May 7, 2027.
Findings
The document certifies that Oxford OK Lessee, LLC is licensed to conduct and maintain an assisted living center with a maximum capacity of 43 beds at the specified location. No deficiencies or violations are noted in this renewal license.
Report Facts
Maximum licensed capacity: 43
Inspection Report Original Licensing Capacity: 43 Deficiencies: 0 Nov 8, 2023
Visit Reason
This document certifies the initial licensing of Oxford Springs Tulsa AL LLC as an Assisted Living Center located at 8231 South Mingo Road Tulsa, OK 74133.
Findings
The license was issued pursuant to Oklahoma statutes and state board regulations, authorizing the facility to operate with a maximum capacity of 43 beds.
Report Facts
Maximum licensed capacity: 43
Inspection Report Complaint Investigation Deficiencies: 1 Oct 5, 2023
Visit Reason
A State Licensure survey with a complaint investigation was conducted due to an allegation that the center neglected to provide the necessary care and assistance required by the resident.
Findings
Deficiencies were found related to sanitary food storage, preparation, and service, specifically an unclean ice machine with black slimy substance. The facility submitted a plan of correction which was accepted, and a revisit confirmed substantial compliance and correction of deficiencies by October 31, 2023.
Complaint Details
The complaint alleged that the center neglected to provide the necessary care and assistance required by the resident. The investigation included observations, interviews, and record reviews. The complaint was substantiated as deficiencies were cited.
Deficiencies (1)
Description
Failed to ensure food was stored, prepared and served in a sanitary manner, including an unclean ice machine with black slimy substance on the deflector plate.
Report Facts
Deficiencies cited: 1 Date survey completed: Oct 5, 2023 Date corrective action completed: Oct 31, 2023 Date revisit conducted: Jan 4, 2024
Employees Mentioned
NameTitleContext
Courtney IvyAdministrator / Executive DirectorNamed as facility administrator and signer of plan of correction.
Lisa CalvinEnforcement Analyst IISigned enforcement correspondence regarding revisit findings.
Tempal KillmanAdministrative Assistant IISigned letter acknowledging acceptance of plan of correction.
Inspection Report Renewal Capacity: 43 Deficiencies: 0 Feb 16, 2022
Visit Reason
This document serves as a license renewal for Brookdale Tulsa South Assisted Living Center, certifying the facility to conduct and maintain an assisted living center.
Findings
The license renewal certifies that the facility meets the requirements set by the Oklahoma State Department of Health and is authorized to operate with a maximum capacity of 43 beds.
Report Facts
Maximum licensed beds: 43
Inspection Report Renewal Capacity: 43 Deficiencies: 0 Jun 23, 2021
Visit Reason
This document is a license renewal for Brookdale Tulsa South, an assisted living center, authorizing the facility to conduct and maintain operations.
Findings
The license renewal certifies that the facility meets the requirements set forth by the Oklahoma State Board of Health and is valid from 02/16/2021 through 02/15/2022.
Report Facts
Licensed beds: 43
Inspection Report Renewal Census: 36 Deficiencies: 0 Apr 24, 2019
Visit Reason
A re-licensure survey was conducted on April 23 and April 24, 2019, to assess compliance with licensing requirements at the assisted living center.
Findings
No deficiencies were cited during the inspection, indicating compliance with applicable regulations.
Report Facts
Resident census: 36
Employees Mentioned
NameTitleContext
Kay DetermanLong Term Care Enforcement ReviewerSigned the inspection report letter
Notice Capacity: 43 Deficiencies: 0 03 07 2019 LICENSE 99990
Visit Reason
This document serves as a license renewal notice certifying Brookdale Senior Living Communities, Inc. to conduct and maintain an Assisted Living Center at the specified location.
Findings
The document certifies the licensing status of the facility with no inspection findings or deficiencies noted.
Report Facts
Maximum licensed beds: 43

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