Inspection Reports for Quail Ridge Senior Living

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Deficiencies per Year

4 3 2 1 0
2016
2019
2020
2021
2022
2023
2025
Severe High Moderate Low Unclassified

Census Over Time

128 136 144 152 160 168 Jun '19 Aug '20 Mar '21 Jul '25 Sep '25
Inspection Report Complaint Investigation Census: 151 Deficiencies: 0 Sep 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on multiple allegations including inadequate staffing, medication administration issues, resident care concerns, and supervision to prevent accidents or elopement.
Findings
Based on observations, interviews, and record reviews, the facility was found to be in compliance with state regulations with no deficiencies cited during the complaint investigations.
Complaint Details
Multiple complaints were investigated regarding staffing adequacy, medication administration, resident care levels, meal assistance, supervision to prevent elopement, and accident prevention. All investigations concluded the center was in compliance with state regulations and no deficiencies were cited.
Report Facts
Facility Census: 151 Sample Size: 6
Employees Mentioned
NameTitleContext
Tempal KillmanEnforcement AnalystNamed as the report author in the cover letter
Inspection Report Renewal Census: 139 Deficiencies: 3 Jul 22, 2025
Visit Reason
A relicensure survey with complaint investigations was conducted at Quail Ridge Senior Living to assess compliance with state regulations and investigate multiple complaints.
Findings
Multiple complaint investigations were conducted related to cleanliness, infection control, safety, staffing, pest control, and resident supervision. No deficiencies were cited in the complaint investigations themselves. However, the relicensure survey identified deficiencies including obstructed stairwell exits, inadequate hot water temperature, and failure to prevent elopement of a resident with dementia. A plan of correction was submitted and accepted, and a revisit confirmed all deficiencies were corrected by August 11, 2025.
Complaint Details
Multiple complaints investigated including failure to maintain a clean, homelike environment; ineffective infection control; unsafe environment; neglect; inadequate staffing; pest control issues; and elopement risk. Investigations found no deficiencies in complaint areas but relicensure survey identified deficiencies as noted.
Severity Breakdown
Level E: 2 Level G: 1
Deficiencies (3)
DescriptionSeverity
Obstructed exits in 2 of 5 stairwells due to wheelchairs, carts, and trash bins blocking exit doors.Level E
Hot water temperatures at resident #8's kitchen and bathroom sinks were only 82.3°F, below the required minimum of 114°F.Level E
Failure to provide supervision to prevent elopement for resident #1 with dementia, who exited the memory care unit unattended and sustained injuries.Level G
Report Facts
Facility Census: 139 Hot water temperature: 82.3 Required hot water temperature: 114 Plan of correction completion date: Aug 22, 2025 Revisit date: Sep 22, 2025
Employees Mentioned
NameTitleContext
Krista BeuckeAdministratorNamed as facility administrator in multiple documents and plan of correction
Tempal KillmanEnforcement AnalystSigned enforcement and final determination letters
Maintenance DirectorNamed in plan of correction related to water temperature monitoring and stairwell exit clearance
CNA #2Certified Nurse AideInterviewed regarding resident wandering and elopement
CNA #3Certified Nurse AideInterviewed regarding resident elopement incident
LPN #1Licensed Practical NurseInterviewed regarding elopement risk assessment
Inspection Report Renewal Capacity: 184 Deficiencies: 0 Feb 21, 2025
Visit Reason
This document serves as a renewal license for the assisted living center Quail Ridge Senior Living, certifying its authorization to operate.
Findings
The document certifies that Quail Ridge Senior Development, LLC is licensed to maintain an assisted living center with a maximum capacity of 184 beds, effective from 2025-02-21 to 2028-02-21.
Report Facts
Maximum licensed capacity: 184
Inspection Report Complaint Investigation Census: 136 Deficiencies: 3 Dec 14, 2023
Visit Reason
A complaint survey was conducted due to allegations including failure to provide bathing assistance, failure to maintain hot water boilers and plumbing, failure to implement an effective infection control program, and failure to ensure residents smoked in designated areas and maintain a safe environment.
Findings
The facility was found to have multiple deficiencies including an Immediate Jeopardy situation related to a resident smoking in their room while on oxygen, failure to document and implement interventions to mitigate risks, and inaccurate completion of smoking-related assessments for residents. The facility submitted an acceptable plan of correction addressing these issues.
Complaint Details
The complaint investigations were initiated due to allegations that the center failed to provide bathing assistance according to contract, failed to ensure hot water boilers and plumbing were in good repair, failed to implement an effective infection control program, and failed to ensure residents smoked in designated areas and maintain a safe, odor-free environment. The investigations were conducted from December 11 to 15, 2023.
Severity Breakdown
Immediate Jeopardy: 1
Deficiencies (3)
DescriptionSeverity
Failure to address Resident #3 smoking in their room with oxygen in progress, creating an Immediate Jeopardy situation.Immediate Jeopardy
Failure to establish interventions to eliminate risks of harm to Resident #3 who was oxygen dependent and non-compliant with smoking policy.
Failure to ensure information on the Senior Living Assessment/ISP related to smoking was completed accurately and in its entirety for four residents who smoked cigarettes.
Report Facts
Facility Census: 136 Number of residents who smoke: 6 Number of residents who smoke and are oxygen dependent: 2 Number of residents sampled for complaint investigations: 5 Date of plan of correction completion: 2024
Employees Mentioned
NameTitleContext
Sarah MartinAdministratorNamed as facility administrator and signer of plan of correction
Lisa CalvinEnforcement Analyst IISigned enforcement correspondence
Tempal KillmanEnforcement AnalystSigned acceptance letter for plan of correction
Sarah Bagby MartinAdministratorSigned plan of correction documents
Lead LPN PreceptorAcknowledged resident smoking behavior and lack of interventions
Inspection Report Complaint Investigation Deficiencies: 1 Jan 26, 2023
Visit Reason
A complaint survey was conducted at Quail Ridge Senior Living on January 26, 2023, following allegations related to family council treatment, pharmaceutical services, resident neglect, equipment safety, and medication administration.
Findings
The investigation found one substantiated deficiency related to failure to provide physician-ordered medication in a timely manner for one resident. Other allegations related to family council treatment, resident neglect, equipment safety, and medication administration were unsubstantiated. A plan of correction was submitted and accepted, and a follow-up revisit confirmed correction of deficiencies by March 24, 2023.
Complaint Details
The complaint investigation included allegations that the facility failed to ensure the family council was treated with dignity and respect (unsubstantiated), failed to provide pharmaceutical services including accurate medication administration (substantiated), and failed to ensure residents were not neglected, equipment was safe, and medications were administered as ordered (all unsubstantiated).
Severity Breakdown
SS=G: 1
Deficiencies (1)
DescriptionSeverity
Failure to provide physician ordered medication in a timely manner for one resident requiring assistance with medication ordering and administration.SS=G
Report Facts
Days medication not administered: 13 Date of correction: 2023
Employees Mentioned
NameTitleContext
Melissa SwaimRNSigned the complaint investigation report completed on 2023-01-26.
Sarah MartinExecutive DirectorSigned the plan of correction dated 2023-02-09.
Katie StagnerEnforcement AnalystSigned enforcement correspondence and follow-up letter.
LPN #1Interviewed regarding medication ordering procedures.
DONDirector of NursingInterviewed regarding medication administration records and deficiencies.
Inspection Report Complaint Investigation Deficiencies: 2 May 18, 2022
Visit Reason
A complaint survey was conducted due to an allegation that the facility failed to ensure qualified staff members were available in an emergency.
Findings
The facility failed to ensure staff checked respiration and pulse prior to initiating CPR and the nurse was unaware that CPR had been performed, resulting in a substantiated deficient practice. Additionally, the facility failed to report an incident involving hospital treatment to the Oklahoma State Department of Health.
Complaint Details
The complaint investigation was initiated due to an allegation that the facility failed to ensure qualified staff members were available in an emergency. The allegation was substantiated.
Severity Breakdown
SS=D: 2
Deficiencies (2)
DescriptionSeverity
Failed to ensure staff checked respiration and pulse prior to initiating CPR for one resident.SS=D
Failed to report to the Oklahoma State Department of Health an incident when a resident received treatment after being transferred by EMSA.SS=D
Report Facts
Investigation dates: 3 Deficiency completion date: Jul 29, 2022
Employees Mentioned
NameTitleContext
Rashid MigezoLicensed Practical NurseNamed in nurse's note related to CPR incident
Sarah BagbyAdministratorSigned plan of correction
Ed RothPreventative Medical ConsultantSigned investigative report
Katie StagnerEnforcement Reviewer/AnalystSigned enforcement correspondence
Inspection Report Complaint Investigation Census: 156 Deficiencies: 0 Mar 9, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to allegation #OK00056639 and included a COVID-19 Special Focus Infection Control Survey to determine compliance with infection prevention and control practices.
Findings
The complaint alleging failure to provide adequate and appropriate medical care was unsubstantiated. No deficiencies were cited related to infection control or other practices during the investigation.
Complaint Details
The allegation that the center failed to provide adequate and appropriate medical care was unsubstantiated (US). The investigation included review of physician visits, orders, records, and staffing. No deficient practice was found.
Report Facts
Total Residents: 156 Sample Size: 10
Employees Mentioned
NameTitleContext
Melissa SwaimRNSigned the report and involved in the investigation
Inspection Report Renewal Capacity: 184 Deficiencies: 0 Feb 21, 2021
Visit Reason
This document is a license renewal issued to Quail Ridge Senior Development, LLC to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility meets the provisions of the Oklahoma Statutes and State Board of Health rules and regulations for an Assisted Living Center.
Report Facts
Maximum licensed beds: 184
Inspection Report Routine Census: 136 Deficiencies: 0 Sep 11, 2020
Visit Reason
A COVID-19 Special Focus Infection Control Survey was conducted to determine if the center 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 11, 2020.
Report Facts
Total residents: 136
Inspection Report Complaint Investigation Census: 153 Deficiencies: 2 Aug 27, 2020
Visit Reason
A Covid-19 Focused Infection Control survey was conducted in conjunction with a complaint investigation to determine if the facility was in compliance with infection prevention and control practices to prevent COVID-19 transmission.
Findings
The facility failed to implement appropriate infection prevention and control practices including screening visitors and staff, using proper PPE, monitoring residents for COVID-19 symptoms, providing staff education, ensuring social distancing in dining, and restricting visitation. Twenty-seven residents and four staff members contracted COVID-19. Immediate Jeopardy was identified and later removed after corrective actions were implemented.
Complaint Details
Complaint #OK00055823 triggered the investigation. The allegation that the facility failed to ensure proper infection control procedures to prevent COVID-19 was substantiated.
Severity Breakdown
Immediate Jeopardy: 2
Deficiencies (2)
DescriptionSeverity
Failure to have a designated administrator responsible for the operation of the assisted living center since 03/06/20.Immediate Jeopardy
Failure to implement infection prevention and control practices to prevent COVID-19 transmission including screening, PPE use, resident monitoring, staff education, social distancing, mask use, and visitation restrictions.Immediate Jeopardy
Report Facts
Resident census: 153 COVID-19 positive residents: 27 COVID-19 positive staff: 4 Days without administrator: 167 Staff inservice completion: 73
Employees Mentioned
NameTitleContext
Robert MarchbanksAdministratorNamed in relation to the administrator deficiency and plan of correction.
Lisa CalvinEnforcement Reviewer/AnalystSigned enforcement letters related to the inspection.
Katie StagnerEnforcement AnalystSigned enforcement letters related to the inspection.
Jennifer JohnsonRN/CHFSSigned investigative report.
Inspection Report Renewal Capacity: 184 Deficiencies: 0 Feb 25, 2020
Visit Reason
This document is a renewal license issued to Quail Ridge Senior Development, LLC to conduct and maintain an Assisted Living Center.
Findings
The document certifies the facility's license renewal with a maximum capacity of 184 beds, effective from 02/21/2020 to 02/20/2021.
Report Facts
Maximum licensed beds: 184
Inspection Report Complaint Investigation Census: 149 Deficiencies: 0 Oct 9, 2019
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number OK00054091 regarding the facility's provision of care and services according to contract.
Findings
The investigation found no deficiencies or deficient practices related to the allegation. Observations, interviews, and record reviews showed care was provided appropriately with no substantiated issues.
Complaint Details
The allegation that the center failed to provide care and services according to contract was unsubstantiated (US). No deficient practice was found related to incontinence care, medication administration, or pest control.
Report Facts
Census: 149 Investigation Dates: 2
Employees Mentioned
NameTitleContext
Marie RennerRN, CHFS IVSigned the investigative report as the nurse completing the investigation
Lisa CalvinLong Term Care Enforcement ReviewerSigned the cover letter transmitting the complaint investigation report
Inspection Report Complaint Investigation Census: 149 Deficiencies: 0 Jun 13, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to an allegation that the center failed to provide maintenance according to residents' contracts.
Findings
The investigation found the allegation to be unsubstantiated with no deficient practice cited. Repairs had been made to address previous flooding issues, and no current water damage or mildew odors were observed.
Complaint Details
Allegation: The center failed to provide maintenance according to residents' contracts. The allegation was unsubstantiated (US). No deficient practice was found related to the complaint.
Report Facts
Resident census: 149 Sample size: 3 Survey hours on-site: 3.75
Employees Mentioned
NameTitleContext
Teena CornettRN, CHFS IVSigned the determination summary and follow-up action
Lisa CalvinLong Term Care Enforcement ReviewerAuthor of the cover letter for the complaint investigation report
Inspection Report Renewal Capacity: 140 Deficiencies: 0 Feb 21, 2019
Visit Reason
This document is a renewal license issued to Quail Ridge Senior Development, LLC to conduct and maintain an Assisted Living Center, indicating the renewal of the facility's license.
Findings
The document certifies that the facility is licensed to operate as an Assisted Living Center with a maximum capacity of 140 beds. It does not contain inspection findings or deficiencies.
Report Facts
Maximum licensed beds: 140
Inspection Report Enforcement Deficiencies: 0 Aug 9, 2016
Visit Reason
The document is a Consent Order resolving enforcement actions related to multiple surveys and complaint investigations conducted at Quail Ridge Senior Living, including re-licensure surveys, complaint investigations, follow-up surveys, and an abbreviated survey.
Findings
The Oklahoma State Department of Health found Quail Ridge Senior Living to be out of compliance during multiple surveys and complaint investigations between August 2016 and June 2017, resulting in citations of deficiencies and administrative penalties. The parties agreed to settle with Quail Ridge paying an administrative penalty of $15,000.
Complaint Details
Complaint investigations were conducted on August 9, 2016 (Complaints #OK00048541 and #OK00048543) and September 15, 2016 (Complaint #OK00048770). Follow-up surveys determined continued non-compliance until June 14, 2017, when all deficiencies were corrected.
Report Facts
Administrative penalty amount: 87220 Settlement penalty amount: 15000 Penalty per day: 500 Days to pay penalty: 15 Months between inspections: 15 Days to dismiss proceeding: 10
Employees Mentioned
NameTitleContext
Robert NollAssistant General CounselAttorney for the Oklahoma State Department of Health
Darren DerryberryAttorneyAttorney for Quail Ridge Senior Development, LLC
Suzanne W. NicholsAdministrative Law JudgeSigned the Consent Order
Notice Capacity: 160 Deficiencies: 0 07 08 2019 LICENSE 111099
Visit Reason
This document serves as the official license renewal and amended license for Quail Ridge Senior Living, authorizing the facility to operate as an Assisted Living Center.
Findings
The documents certify that Quail Ridge Senior Living is licensed to maintain an Assisted Living Center with a maximum capacity of 160 beds, with license effective dates and expiration noted.
Report Facts
Maximum licensed beds: 160
Notice Capacity: 184 Deficiencies: 0 07 18 2019 LICENSE 101324
Visit Reason
The document serves to notify the facility of the renewal and amendment of its Assisted Living Center license, including approval for new bed additions and acceptance of resident service contract documents.
Findings
The documents confirm the renewal and amendment of the facility's license with updated bed capacity and acceptance of required resident service contract materials.
Report Facts
Maximum licensed beds: 140 Maximum licensed beds: 184 Maximum licensed beds: 160 Bed additions approved: 20 Bed additions approved: 24
Employees Mentioned
NameTitleContext
Michael ToddHealth Planning SpecialistNamed as contact for licensing questions
Espaniola BowenAdministrative Program ManagerSigned letters regarding license renewal and amendments
Lisa McAlisterRN, AL/RC/ADCCopied on correspondence

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