Inspection Reports for
Saint Simeons Episcopal Home

3701 NORTH CINCINNATI, TULSA, OK, 74106

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

71% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2021
2023
2024
2025

Census

Latest occupancy rate 73 residents

Based on a January 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

36 45 54 63 72 81 Apr 2019 Jun 2021 Jun 2023 Oct 2024 Jan 2025

Inspection Report

Complaint Investigation
Census: 73 Deficiencies: 0 Date: Jan 3, 2025

Visit Reason
The inspection was a complaint investigation triggered by allegations that the facility failed to ensure residents were free from physical, verbal, and psychosocial abuse, and misappropriation of property.

Complaint Details
The complaint alleged that the center failed to ensure residents were not physically, verbally, or psychosocially abused, and failed to ensure residents were free from misappropriation of property. The investigation included observations, interviews with residents, family, and staff, and review of records. No deficiencies were cited.
Findings
The complaint investigations conducted on January 2 and 3, 2025, found no deficiencies. Observations, interviews, and record reviews were conducted, and no violations were cited.

Report Facts
Facility Census: 73

Inspection Report

Complaint Investigation
Census: 47 Deficiencies: 0 Date: Oct 10, 2024

Visit Reason
The visit was a complaint investigation conducted due to allegations that the facility failed to protect residents from physical abuse by staff members.

Complaint Details
The complaint alleged failure to protect residents from physical abuse by staff members. The investigation was unannounced and included observations, interviews, and record reviews. No deficiencies were cited.
Findings
The investigation found no deficiencies. Residents were observed to be clean and groomed, staff interacted respectfully, and staffing levels met state requirements. No abuse was substantiated.

Report Facts
Facility Census: 47 Sample Size: 3

Employees mentioned
NameTitleContext
Clorissa NubineEnforcement AnalystAuthor of the report and contact for questions
Angela GreenAdministratorFacility administrator addressed in the report

Inspection Report

Complaint Investigation
Census: 59 Deficiencies: 0 Date: Dec 1, 2023

Visit Reason
The inspection was conducted as a complaint investigation to determine if the facility protected residents from abuse.

Complaint Details
The complaint alleged that the facility failed to protect residents from abuse. The investigation was unannounced and included interviews, observations, and record reviews. No deficiencies were cited, indicating the complaint was not substantiated.
Findings
The investigation found no deficiencies. The facility was observed to be clean, staff were providing care appropriately, and records including policies, employee training, and resident incident reports were reviewed with no issues identified.

Report Facts
Facility Census: 59 Sample Size: 6

Inspection Report

Re-Inspection
Census: 47 Deficiencies: 5 Date: Jun 6, 2023

Visit Reason
A relicensure survey was conducted on June 5-6, 2023, to assess compliance with state licensure requirements for the assisted living center.

Findings
The survey identified multiple deficiencies including failure to ensure food was stored, prepared, and served in a sanitary manner; improper disposal of potentially hazardous leftovers; incomplete resident assessments lacking required signatures and interviews; and direct care staff lacking required first aid and CPR training.

Deficiencies (5)
Failed to ensure food was stored, prepared, and served in a sanitary manner, including uncovered trash cans and lack of beard guards for staff with facial hair.
Failed to ensure leftovers which were potentially hazardous foods were disposed of within 24 hours and non-potentially hazardous foods within 48 hours.
Failed to ensure resident assessments were coordinated and signed by a registered nurse or the resident's personal physician for two of eight sampled residents.
Failed to ensure comprehensive assessments included a personal interview between the resident or representative and the person completing the form for two of eight sampled residents.
Failed to ensure direct care staff were trained in first aid and cardiopulmonary resuscitation for four of five recently hired staff members.
Report Facts
Residents: 47 Recently hired staff without CPR/first aid training: 4

Inspection Report

Complaint Investigation
Census: 48 Deficiencies: 0 Date: Mar 13, 2023

Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation that the facility failed to have a properly and consistently functioning call system.

Complaint Details
Allegation: The facility failed to have a properly and consistently functioning call system. The allegation was unsubstantiated (US) after investigation.
Findings
The investigation found the allegation to be unsubstantiated. The facility was clean, residents were well cared for, and the call light system was functioning properly with no failures reported. Staff responded timely to call lights and residents' needs were met.

Report Facts
Total Residents: 48 Sample Size: 4

Employees mentioned
NameTitleContext
Anita NewmanLPN, CHFCSigned the report and noted in the determination summary

Inspection Report

Complaint Investigation
Census: 59 Deficiencies: 0 Date: Jun 8, 2021

Visit Reason
The visit was conducted as a complaint investigation based on allegations regarding residents' right to visitors of choice and infection control practices related to COVID-19.

Complaint Details
Two allegations were investigated: 1) failure to ensure residents' right to visitors of choice, and 2) failure to follow proper infection control practices related to COVID-19. Both allegations were unsubstantiated.
Findings
The investigation found no deficiencies; both allegations were unsubstantiated, and no further action was required.

Report Facts
Total Census: 59 Sample Residents Interviewed: 3

Employees mentioned
NameTitleContext
Katie StagnerLong Term Care Enforcement ReviewerSigned the complaint investigation report
Mary CooperRN/CHFSSigned the completion of the complaint investigation report

Inspection Report

Complaint Investigation
Census: 71 Deficiencies: 0 Date: Aug 13, 2019

Visit Reason
Surveyors attempted to investigate a complaint at the facility on August 13, 2019, related to an administrative error concerning the nursing facility portion of the care center. The complaint was sent to the wrong department and investigated at the correct facility type later.

Complaint Details
Complaint #OK53870 was investigated but was sent to the wrong department. The complaint concerned the nursing facility portion, not the assisted living portion of the care center.
Findings
An abbreviated survey was conducted on August 13, 2019, to investigate the complaint. No action was needed on the assisted living portion of the care center as the complaint pertained to the nursing facility portion. The complaint was found to have been sent to the wrong department.

Report Facts
Census: 71

Employees mentioned
NameTitleContext
Sue DavisEnforcement CoordinatorSigned letter regarding complaint investigation

Inspection Report

Renewal
Census: 68 Deficiencies: 2 Date: Apr 11, 2019

Visit Reason
A re-licensure survey was conducted from April 9 through April 11, 2019, to assess compliance with state licensure requirements for the assisted living center.

Findings
Deficiencies were found related to food storage, preparation and service, specifically that 3 of 9 sampled kitchen staff lacked documented food service training prior to food preparation. Additionally, the facility failed to initiate fingerprint-based national background checks for 3 of 9 sampled employees upon hire. The facility submitted an acceptable plan of correction and was found to be in substantial compliance by May 17, 2019.

Deficiencies (2)
Failed to ensure 3 of 9 sampled kitchen staff had documented evidence of food service training prior to food preparation.
Failed to initiate fingerprint-based national background checks for 3 of 9 sampled employees upon hire.
Report Facts
Census: 68 Employees sampled: 9 Employees lacking training documentation: 3 Employees sampled for background check: 9 Employees without background check: 3 Survey dates: 2019-04-09 to 2019-04-11 Plan of correction completion date: May 17, 2019

Employees mentioned
NameTitleContext
Angela GreenAdministratorNamed as facility administrator in relation to findings and plan of correction
Lisa CalvinLong Term Care Enforcement ReviewerSigned acceptance letter of plan of correction
Sue DavisEnforcement CoordinatorSigned letter regarding informal dispute resolution process and revisit findings

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