Inspection Reports for Primrose Retirement Community of Stillwater

832 S RANGE ROAD, STILLWATER, OK, 74074

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

67% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2020
2022
2024
2025

Census

Latest occupancy rate 42 residents

Based on a October 2025 inspection.

Census over time

30 35 40 45 50 55 Sep 2019 Nov 2019 Dec 2019 Sep 2020 Feb 2024 Oct 2025
Inspection Report Re-Inspection Census: 42 Deficiencies: 4 Oct 16, 2025
Visit Reason
A relicensure survey with complaints was conducted from 10/14/25 through 10/16/25 to investigate multiple allegations including failure to assess and intervene timely, prevent falls, ensure records were not falsified, ensure staff qualifications, and maintain sanitary food preparation conditions.
Findings
Deficiencies were cited related to food storage and labeling, incomplete temperature and dishwasher sanitization documentation, delayed comprehensive resident assessments, missing required signatures on assessments, and failure to provide timely abuse training to staff. The facility submitted an acceptable plan of correction and was found in substantial compliance upon a revisit on 11/17/25.
Complaint Details
The complaint investigation was initiated due to allegations that the center failed to assess, monitor, and intervene timely for changes in condition; failed to implement effective fall prevention; failed to ensure records were not falsified; failed to ensure staff qualifications; and failed to ensure food was prepared and served under sanitary conditions. Another complaint alleged failure to ensure residents were not abused. Investigations included observations, interviews, and record reviews.
Severity Breakdown
SS=F: 1 SS=D: 3
Deficiencies (4)
DescriptionSeverity
Open food items were not labeled with open/use by dates and temperature and dishwasher sanitization documentation was incomplete.SS=F
Comprehensive assessments were not completed within 14 days of admission for one resident.SS=D
Assessments were not coordinated and signed by a registered nurse or the resident's personal physician for one resident.SS=D
Staff were not educated on abuse within 90 days of hire for one employee.SS=D
Report Facts
Facility Census: 42 Deficiencies cited: 4 Employee sample size: 5 Resident sample size: 8
Inspection Report Renewal Capacity: 50 Deficiencies: 0 Jun 11, 2025
Visit Reason
This document serves as a license renewal for the assisted living center Primrose Retirement Community of Stillwater, certifying the facility to continue operations.
Findings
The license renewal certifies that TP Stillwater Operations, LLC is authorized to maintain an assisted living center with a maximum capacity of 50 beds at the specified location.
Report Facts
Maximum licensed capacity: 50
Inspection Report Re-Inspection Census: 46 Deficiencies: 3 Feb 12, 2024
Visit Reason
A relicensure survey was conducted from February 7, 2024 through February 9, 2024 and on February 12, 2024 to assess compliance with state licensure requirements for Primrose Retirement Community Of Stillwater.
Findings
The facility was found deficient in multiple areas including food storage and preparation practices, resident assessment documentation, resident rights regarding medical care, and contract completion. Specific issues included improper food date marking, incomplete temperature logs, lack of hair restraint policies for facial hair, incomplete resident assessments and signatures, failure to clean shared blood pressure cuffs between residents, and unsigned resident contracts.
Severity Breakdown
SS=E: 3
Deficiencies (3)
DescriptionSeverity
Failed to ensure leftover foods in the refrigerator were dated with preparation date, staff monitored refrigerator, freezer, and dish machine temperatures and chemicals, and hair restraint policies for facial hair were in place.SS=E
Failed to ensure resident assessments were coordinated and signed by a Registered Nurse, the resident's physician, and the resident or their representative for five of eight sampled residents.SS=E
Failed to ensure contracts were fully completed for two of eight sampled residents and failed to implement a policy to prevent cross contamination for the use of a shared blood pressure cuff for two of five residents observed.SS=E
Report Facts
Facility Census: 46 Deficiencies cited: 3
Inspection Report Renewal Capacity: 50 Deficiencies: 0 Dec 6, 2022
Visit Reason
This document serves as a renewal license certifying that TP Stillwater Operations, LLC is licensed to conduct and maintain an Assisted Living Center, Primrose Retirement Community of Stillwater.
Findings
The license is issued pursuant to Oklahoma statutes and state board rules, authorizing operation of the facility with a maximum capacity of 50 beds. No deficiencies or findings are noted in this document.
Report Facts
Maximum licensed beds: 50
Inspection Report Abbreviated Survey Census: 36 Deficiencies: 0 Sep 8, 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 September 8, 2020.
Notice Capacity: 50 Deficiencies: 0 Jun 9, 2020
Visit Reason
This document serves as a license renewal issued to Stillwater Retirement, L.L.C. to conduct and maintain an Assisted Living Center.
Findings
The document certifies the facility's license renewal with a maximum capacity of 50 beds, effective from 06/19/2020 to 06/18/2021.
Report Facts
Maximum licensed beds: 50
Inspection Report Complaint Investigation Census: 41 Deficiencies: 0 Dec 4, 2019
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that the center failed to have adequate staff to provide care to residents per care plans.
Findings
The allegation was unsubstantiated after interviews with residents and staff, observations, and review of care plans. No deficient practice was cited.
Complaint Details
The allegation that the center failed to have adequate staff to provide care to residents per care plans was unsubstantiated (US). No further action was required.
Report Facts
Census: 41 Residents interviewed: 4 Staff interviewed: 3
Employees Mentioned
NameTitleContext
Lisa CalvinLong Term Care Enforcement ReviewerSigned the cover letter of the complaint investigation report
Mary CooperRNCompleted the investigative report and determination summary
Inspection Report Follow-Up Census: 40 Deficiencies: 0 Nov 4, 2019
Visit Reason
A follow-up survey was conducted on November 4, 2019, to verify correction of deficiencies cited during the prior survey on September 25, 2019.
Findings
The revisit findings indicate that all deficiencies cited during the September 25, 2019 survey have been corrected effective October 21, 2019. All deficient practices were cleared.
Report Facts
Census: 40
Employees Mentioned
NameTitleContext
Sue DavisEnforcement CoordinatorNamed as Enforcement Coordinator in the letter regarding the follow-up survey
Inspection Report Renewal Census: 41 Deficiencies: 1 Sep 25, 2019
Visit Reason
A re-licensure survey was conducted on 09/24/19 and 09/15/19 at the Primrose Retirement Community of Stillwater to assess compliance with licensing requirements.
Findings
The facility was found deficient for failing to ensure that third party staff providing sitter services were from a licensed agency, had current credentials, or had a current background check. The deficiency had the potential for more than minimal harm.
Deficiencies (1)
Description
Failed to ensure third party staff providing sitter services were from a licensed agency, had current credentials, or had a current background check.
Report Facts
Resident census: 41 Surveyor on-site hours: 15 Surveyor travel hours: 3.5 Surveyor off-site report preparation hours: 2
Employees Mentioned
NameTitleContext
Tonya WolfeAdministratorNamed as facility administrator in the report
Sue DavisEnforcement CoordinatorSigned enforcement letter
Lisa CalvinLong Term Care Enforcement ReviewerSigned acceptance letter of plan of correction
Inspection Report Renewal Capacity: 50 Deficiencies: 0 Jun 19, 2019
Visit Reason
This document is a license renewal issued to Stillwater Retirement, L.L.C. for the operation of an Assisted Living Center, indicating the renewal of the facility's license.
Findings
The document certifies that Stillwater Retirement, L.L.C. is licensed to conduct and maintain an Assisted Living Center with a maximum capacity of 50 beds. The license is effective from 06/19/2019 through 06/18/2020.
Report Facts
Maximum licensed beds: 50

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