Inspection Reports for Sand Plum Assisted Living Community
9999 EAST 121ST STREET SOUTH, BIXBY, OK, 74008
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
62 residents
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 0
Sep 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the facility failed to protect residents from physical and psychosocial abuse and failed to ensure adequate staff to meet residents' needs and timely response to call lights.
Findings
Two complaint investigations were conducted on September 24 and 25, 2024, involving allegations of abuse and staffing issues. The investigations included observations, interviews, and record reviews. No deficiencies were cited in either investigation.
Complaint Details
The complaints alleged failure to protect residents from physical and psychosocial abuse and failure to ensure adequate staffing and timely call light response. Both complaints were investigated with no deficiencies cited.
Report Facts
Facility Census: 62
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 1
Sep 21, 2023
Visit Reason
A complaint investigation was conducted at Sand Plum Assisted Living Community based on allegations of abuse, medication re-ordering delays, inadequate staffing, food supply issues, and laundry equipment problems.
Findings
The investigation found deficiencies related to medication administration documentation for multiple residents, with missing documentation for many evening doses. The facility reported internet outages causing loss of medication administration records and no alternative documentation methods were used. Other allegations such as abuse, staffing, food supply, and laundry equipment were investigated with no noted deficiencies.
Complaint Details
The complaint investigation was triggered by allegations that the facility failed to ensure residents were not abused and failed to ensure medications were re-ordered timely, adequate staffing, food supplies, and laundry equipment. The investigation included observations, interviews, and record reviews. The deficiencies cited represented potential for more than minimal harm but no actual harm was identified.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to document medications were administered for three of nine sampled residents, missing documentation for multiple evening doses in September 2023. | SS=E |
Report Facts
Residents receiving medication: 64
Sample size: 9
Days missing documentation: 14
Date of initial investigation: Sep 7, 2023
Date of revisit: Dec 7, 2023
Date of correction: Dec 6, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dani Woodland | Administrator | Named as facility administrator in multiple documents and signed plan of correction. |
| Lisa Calvin | Enforcement Analyst | Signed enforcement letters related to complaint investigation and revisit. |
| CMA #1 | Certified Medication Aide | Reported internet outages causing loss of medication administration documentation and no alternative documentation methods used. |
| ADON | Assistant Director of Nursing | Reported internet outages causing loss of medication administration documentation and no alternative documentation methods used. |
| Clorissa Nubine | Administrative Assistant | Signed letter acknowledging acceptance of plan of correction. |
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 3
Jan 26, 2023
Visit Reason
A State Licensure survey with a complaint investigation was conducted due to allegations regarding failure to follow CMS guidelines for COVID exposure protection and failure to notify families about COVID exposure.
Findings
The investigation substantiated deficient practice related to failure to follow CMS COVID exposure guidelines and failure to perform monthly medication reviews for three residents. The facility also failed to allow private visitation during a COVID lockdown for three residents. The facility was required to submit a plan of correction and was found to be in substantial compliance upon revisit.
Complaint Details
Allegation #1 regarding failure to follow CMS COVID exposure guidelines was substantiated. Allegation #2 regarding failure to notify families about COVID exposure was unsubstantiated.
Severity Breakdown
Level B: 1
Level E: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to perform monthly medication reviews for three residents. | Level B |
| Facility failed to allow private visitation with persons of the residents' choice during COVID lockdown for three residents. | Level E |
| Facility failed to follow CMS guidelines regarding protection of residents with COVID exposure. | Level E |
Report Facts
Residents: 55
Residents reviewed for medication administration: 3
Investigation dates: 2023-01-19 to 2023-01-26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dani Woodland | Administrator | Named as the facility administrator and signatory on plan of correction documents. |
| Lisa Calvin | Enforcement Analyst | Signed enforcement and revisit letters. |
| Anita Newman | LPN, CHFS | Completed the investigative report. |
| Katie Stagner | Enforcement Analyst | Sent letter regarding plan of correction deficiencies. |
| Tempal Killman | Administrative Assistant II | Sent letter accepting amended plan of correction. |
Notice
Capacity: 100
Deficiencies: 0
Sep 21, 2022
Visit Reason
This document serves as a license renewal certificate authorizing The Sand Plum Limited Partnership to conduct and maintain an Assisted Living Center at the specified location.
Findings
The license certifies that the facility is authorized to operate with a maximum capacity of 100 beds, effective from 08/01/2022 through 07/31/2025.
Report Facts
Maximum licensed beds: 100
Inspection Report
Renewal
Capacity: 100
Deficiencies: 0
Sep 30, 2021
Visit Reason
This document is a license renewal for Sand Plum Assisted Living Community, 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 Board of Health and is authorized to operate with a maximum capacity of 100 beds.
Report Facts
Maximum licensed beds: 100
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 3
Sep 20, 2021
Visit Reason
A complaint investigation was conducted at Sand Plum Assisted Living Community based on allegations of verbal and physical abuse, infection control related to Covid-19, and visitation restrictions.
Findings
The investigation found no substantiated abuse but substantiated deficient practice related to infection control procedures for Covid-19 testing. The facility failed to test symptomatic residents for Covid-19 due to lack of testing supplies. Additionally, the facility failed to maintain accurate vital sign records for some residents.
Complaint Details
The complaint investigation included allegations that the center failed to ensure residents were not verbally and physically abused by staff (unsubstantiated), failed to follow proper infection control procedures related to Covid-19 (substantiated), and failed to ensure residents could have visitors of choice/visitation was not limited (unsubstantiated).
Severity Breakdown
SS=E: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to provide care consistent with practice standards for completing Covid-19 testing for symptomatic residents. | SS=E |
| Failure to maintain accurate vital sign records for residents. | SS=E |
| Failure to observe all resident rights including adequate and appropriate medical care and the right to refuse medication and treatment. | SS=E |
Report Facts
Residents in facility: 55
Dates of investigation: 2021-09-16 and 2021-09-20
Plan of correction completion date: Oct 22, 2021
Revisit date: Dec 14, 2022
Correction effective date: Dec 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dani Woodland | Administrator / Executive Director | Named as facility administrator and signer of plan of correction. |
| Lisa Calvin | Enforcement Analyst | Signed enforcement letter regarding complaint survey. |
| Tempal Killman | Administrative Assistant | Signed letter accepting plan of correction. |
| Katie Stagner | Enforcement Analyst | Signed letter regarding offsite complaint revisit. |
| Director of Nurses (DON) | Named in findings related to failure to test residents and maintain vital sign records. |
Inspection Report
Renewal
Capacity: 100
Deficiencies: 0
Sep 8, 2020
Visit Reason
This document is a renewal license issued to The Sand Plum Limited Partnership to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility meets the requirements to operate as an Assisted Living Center with a maximum capacity of 100 beds. The license is effective from 08/01/2020 through 07/31/2021.
Report Facts
Maximum licensed beds: 100
Inspection Report
Renewal
Census: 52
Deficiencies: 0
Sep 16, 2019
Visit Reason
A re-licensure survey was conducted on September 12 and September 16, 2019, to assess compliance for license renewal at Sand Plum Assisted Living Community.
Findings
No deficiencies or deficient practices were cited during the inspection.
Report Facts
Census: 52
Inspection Report
Renewal
Capacity: 100
Deficiencies: 0
Aug 1, 2019
Visit Reason
This document is a license renewal issued to The Sand Plum Limited Partnership to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility meets the provisions of the Oklahoma Statutes and rules and regulations for an Assisted Living Center with a maximum capacity of 100 beds.
Report Facts
Maximum licensed beds: 100
Inspection Report
Renewal
Capacity: 100
Deficiencies: 0
Jul 19, 2019
Visit Reason
This document is a renewal license issued to The Sand Plum Limited Partnership to conduct and maintain an Assisted Living Center.
Findings
The license certifies that the facility, Sand Plum Assisted Living Community, is authorized to operate with a maximum capacity of 100 beds. The license is effective from 08/01/2018 and expires on 07/31/2019.
Report Facts
Maximum licensed beds: 100
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Jul 12, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to an allegation that the center failed to provide a pest free environment.
Findings
The allegation was unsubstantiated; no bed bugs or pests were found during the investigation. The facility provided pest control treatments and had documented receipts. No deficient practices were cited.
Complaint Details
The complaint alleged the center failed to provide a pest free environment. The allegation was unsubstantiated (US). No deficient practice was found related to this allegation.
Report Facts
Census: 53
Sample size: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justina Leach | RN/CHFS | Signed the determination summary and follow-up action |
| Lisa Calvin | Long Term Care Enforcement Reviewer | Signed the cover letter for the report |
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