Inspection Reports for The Brentwood Senior Living

This document serves as the renewal license for The Brentwood Senior Living, an assisted living center located in Lawton, Oklahoma.

The document certifies that Lawton Oklahoma Senior Living, LP is licensed to conduct and maintain an assisted living center with a maximum capacity of 90 beds. No deficiencies or findings are noted in this license renewal document.

The inspection was conducted as a complaint investigation based on allegations that the facility failed to assess and intervene for residents with changes in condition, failed to provide adequate housekeeping services, and failed to ensure water availability and comfortable room temperatures during a water outage.

The complaint investigations found no deficiencies. Observations, interviews, and record reviews indicated that residents received appropriate care, staffing was adequate, housekeeping services were provided, and water supply and accommodations during outages were managed according to regulations.

Two complaint investigations (#OK00062135 and #OK00062320) were conducted on 02/15/2024. Allegations included failure to assess residents in distress, inadequate housekeeping, admission of residents above level of care, and failure to ensure water availability and comfortable room temperatures during outages. No deficiencies were cited.

A complaint investigation was conducted due to allegations that the facility failed to ensure adequate supervision to prevent falls, failed to ensure call lights were working, and failed to ensure residents were checked every one to two hours when call lights were not working.

The investigation found that the facility failed to have a written statement of services related to a life alert pendant for one resident, failed to ensure residents were checked every two hours, resulting in an unwitnessed fall and prolonged time on the floor for one resident, and failed to maintain a working call light system. Immediate Jeopardy was identified but later removed after staff in-service and corrective actions. The facility was found to have actual harm with potential for more than minimal harm due to neglect in supervision and call light maintenance.

The complaint investigation was substantiated with findings that the facility failed to ensure call lights were working, failed to ensure residents were checked every one to two hours, and failed to notify residents and families when call lights were not working. Immediate Jeopardy was identified related to neglect in supervision and failure to check residents every two hours. The Immediate Jeopardy was removed after corrective actions were implemented.

The inspection was conducted as a complaint investigation regarding an allegation that the facility failed to prevent destruction of medical records.

The investigation found the allegation to be unsubstantiated. No deficiencies were cited, and residents were observed to be well groomed with medical records and related documentation properly maintained.

Allegation: The facility failed to prevent destruction of medical records. The allegation was unsubstantiated (US) after investigation.

A complaint survey was conducted at The Brentwood Senior Living on June 13, 2022, following allegations related to infection control and qualified personnel performing nursing care.

The investigation substantiated deficient practice related to the activity director performing personal care without proper training or certification, specifically providing manicures and pedicures to residents. No deficient practice was found regarding the infection control program. The facility was required to submit a plan of correction.

Two allegations were investigated: (1) failure to have and/or implement an effective infection control program (unsubstantiated), and (2) failure to have qualified personnel performing nursing care (substantiated).

A relicensure survey was conducted in conjunction with complaint investigations at The Brentwood Senior Living from April 25, 2022 through April 28, 2022.

The survey identified multiple deficiencies including failure to conduct competency skills evaluations for direct care staff, failure to obtain current nurse aide certifications, failure to validate certified medication aide skills, incomplete comprehensive resident assessments, lack of personal interviews for assessments, failure to obtain RN monthly medication reviews, lack of CPR/First Aid training documentation for staff, failure to obtain signed physician orders and code status for recent admissions, improper oxygen cylinder storage, failure to submit incident reports for resident falls, and medication administration errors including timing and observation of swallowing.

The complaint investigation included allegations that the center failed to provide adequate care and services, failed to ensure residents' property was not removed, failed to ensure medications were administered safely according to physicians' orders, and failed to ensure resident medications were not misappropriated. All allegations were unsubstantiated.

This document is a license renewal issued to Lawton Oklahoma Senior Living, LP for The Brentwood Senior Living assisted living center.

The license certifies that the facility is authorized to conduct and maintain an assisted living center with a maximum capacity of 90 beds. The license is effective from 02/20/2021 and expires on 02/19/2022.

The inspection was conducted as a complaint investigation in conjunction with a COVID-19 Special Focus Infection Control Survey to determine compliance with infection prevention and control practices related to complaint OK #56539.

The investigation found no deficiencies; both allegations regarding care provision and medication administration were unsubstantiated. Staff were observed providing appropriate care and assistance, and residents reported no concerns.

Complaint #OK00056539 included allegations that the center failed to ensure care was provided as contracted and failed to ensure medications were administered as ordered by the physician. Both allegations were unsubstantiated (US).

The Oklahoma State Department of Health conducted a COVID-19 Special Focus Infection Control Survey to determine if the facility was in compliance with infection prevention and control practices related to COVID-19.

No deficiencies were cited during the COVID-19 Special Focus Survey conducted on December 2, 2020.

This document serves as a renewal license for The Brentwood Senior Living Assisted Living Center, authorizing the facility to continue operations.

The license was issued pursuant to Oklahoma statutes and state board of health regulations, confirming the facility meets requirements for renewal.

A State Licensure survey was conducted at The Brentwood Senior Living assisted living center from November 12 to November 13, 2019, as part of the renewal/licensure process.

Deficiencies were identified related to assessment timeframes, nursing services, and coordination of care. The facility failed to complete a significant change assessment for a resident and failed to ensure blood pressure readings were reported to the physician. The plan of correction was accepted and a follow-up revisit was scheduled.

This document is a license renewal issued to Lawton Oklahoma Senior Living, LP to conduct and maintain an Assisted Living Center.

The license renewal certifies that the facility is authorized to operate with a maximum capacity of 90 beds, effective from 02/20/2019 to 02/19/2020.