Inspection Reports for Sand Sage of The Highlands Senior Living

A relicensure survey was conducted on November 14, 2025 and November 19-20, 2025 to assess compliance with licensure standards for the assisted living facility.

The facility failed to maintain dishwasher sanitizer solution at recommended ppm levels and failed to record sanitizer levels three times daily as required. The deficiencies represented the potential for more than minimal harm. The facility submitted an acceptable plan of correction and was found in substantial compliance upon a revisit on January 9, 2026.

The inspection was conducted as a complaint investigation triggered by multiple anonymous complaints alleging pharmaceutical service issues, nursing service inadequacies, quality of life concerns, resident abuse, and neglect at the assisted living facility.

The investigation found no deficiencies in medication administration, staffing, call light response, ADL assistance, abuse, or neglect. Interviews, observations, and record reviews did not substantiate the allegations. The alleged abuse incident was investigated, and the perpetrator was suspended and terminated. No deficient practices were identified.

Multiple complaints were investigated including allegations of pharmaceutical service failures, inadequate nursing services, failure to provide ADL assistance, resident abuse, and neglect related to supervision and elopement prevention. The abuse allegation involved an incident on 2025-03-20; the perpetrator was suspended and terminated. All investigations found no deficiencies.

A state licensure survey with complaint investigation was conducted due to allegations that the center failed to ensure qualified staff provided assistance with bathing.

The facility was found to have multiple deficiencies including failure to ensure a resident with multiple falls did not exceed the center's level of care, improper food storage and labeling, incomplete admission assessments, lack of RN or physician coordination of assessments, failure to complete 48-hour post-fall assessments, unsecured medication cart, unsanitized blood pressure cuffs, failure to follow dietician recommendations, and failure to coordinate care with third-party providers.

The complaint alleged that the center failed to ensure qualified staff provided assistance with bathing. The investigation included observations, interviews, and record reviews related to this allegation.

The inspection was conducted as a complaint investigation based on allegations that the facility failed to ensure residents were not involuntarily secluded and failed to provide care according to residents' preferences.

The investigation found no deficiencies. Staff were observed providing care and interacting with residents appropriately, and resident records and facility policies were reviewed without identifying any violations.

The complaint investigation (#OK00060975) was conducted on February 1, 2024, regarding allegations of involuntary seclusion and failure to provide care according to residents' preferences. No deficiencies were cited.

A State Licensure survey with a complaint investigation was conducted due to allegations of abuse and failure to notify representatives in a timely manner.

The facility was found deficient in ensuring medications were administered as ordered, timely reporting of abuse allegations to the State Department and Nurse Aide Registry, and failure to notify representatives of abuse allegations in a timely manner. Deficient practices related to medication administration and abuse reporting were cited.

The complaint alleged failure to prevent physical, sexual, or psychosocial abuse, failure to investigate and notify police, resident’s representative, and OSDH in a timely manner, and failure to notify residents’ representatives of abuse allegations timely.

A Covid-19 focused survey was conducted to determine if the facility was in compliance with proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to have a policy for face masks/coverings to comply with CDC guidance during the pandemic and failed to encourage residents to wear masks/face coverings while out of their rooms and/or near other persons. This affected three of three sampled residents observed.

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.

No deficiencies were cited during the COVID-19 Special Focus Survey.

The document is a license renewal issued to RE II Senior II OPCO LLC for operating an Assisted Living Center.

The document certifies the facility is licensed to conduct and maintain an Assisted Living Center under renewal status, with no specific findings or deficiencies noted.

The inspection was conducted as a complaint investigation at Willowood Assisted Living and Memory Care on October 10, 2019, to investigate complaint #OK00054227.

No deficiencies were cited during the complaint investigation. Both allegations regarding residents' rights to visitors and provision of care according to the resident's contract were found to be unsubstantiated.

Two allegations were investigated: 1) The center failed to ensure resident rights to visitors of choice were not violated (unsubstantiated). 2) The center failed to provide care according to the resident's contract (unsubstantiated). No deficient practices were found related to these allegations.

The document is an initial licensing approval and certification for RE II Senior II Opco LLC to conduct and maintain an Assisted Living Center, effective April 24, 2019.

The application for the initial license was approved with an effective date of April 24, 2019, and includes acceptance of multiple submitted documents related to resident agreements and facility policies. Some inconsistencies in the application were noted but not detailed.

A re-licensure survey was conducted on March 25 and 28, 2019, to assess compliance with state licensure requirements for Willowood At Mustang Assisted Living And Memory Care.

Multiple deficiencies were cited related to staff training, skills validation, criminal background checks, resident rights, and medical care. The deficiencies represented the potential for more than minimal harm. A plan of correction was submitted and accepted.