Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Jun 19, 2025
Visit Reason
This document is a renewal license issued to Canadian Trails ILF ALF, LLC, The Gardens at Rivermont, certifying the facility to operate as an Assisted Living Center.
Findings
The license certifies that the facility meets the requirements to conduct and maintain an Assisted Living Center with a maximum capacity of 70 beds. No deficiencies or violations are noted in this document.
Report Facts
Maximum licensed capacity: 70
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 3
Jun 2, 2025
Visit Reason
A complaint investigation was conducted due to allegations that the facility failed to assess, monitor, and intervene timely for a resident who experienced a fall and sustained injuries, failed to ensure residents were treated with dignity and respect, and failed to provide dependent residents with ADL assistance.
Findings
The investigation found deficiencies including failure to ensure an annual comprehensive assessment was signed/coordinated by an RN or physician, failure to include a personal interview for comprehensive assessments, and failure to submit an incident report to the Oklahoma State Department of Health for a resident's fall resulting in a hip fracture.
Complaint Details
The complaint investigation was substantiated with deficiencies cited related to assessment, resident dignity, ADL assistance, and incident reporting. The facility was given an opportunity to correct deficiencies and submit a plan of correction.
Severity Breakdown
SS=D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure an annual comprehensive assessment was signed/coordinated by an RN or physician for 1 of 3 sampled residents. | SS=D |
| Failed to include a personal interview between the resident and/or the resident's representative for 1 of 3 residents sampled for comprehensive assessments. | SS=D |
| Failed to submit an incident report to the OSDH for 1 of 3 sampled residents reviewed for incident reports. | SS=D |
Report Facts
Facility Census: 51
Sample Size: 3
Incident Date: May 25, 2025
Plan of Correction Completion Date: Jul 8, 2025
Revisit Date: Jul 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tempal Killman | Enforcement Analyst | Signed enforcement and follow-up letters related to the complaint investigation. |
| June Rose | Administrator | Facility administrator named in the report and correspondence. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 11, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to allegations that the center failed to ensure adequate supervision to prevent accidents with major injury.
Findings
The investigation found no deficiencies; staff were observed providing appropriate care and supervision, family members gave positive feedback, and no deficient practice related to supervision or accidents was identified.
Complaint Details
The complaint alleged inadequate supervision to prevent accidents with major injury. The investigation was unannounced and included observations, interviews, and record reviews. The complaint was not substantiated as no deficiencies were cited.
Report Facts
Sample size: 3
Investigation dates: Investigation conducted on 2023-12-07 and 2023-12-11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Calvin | Enforcement Analyst II | Author of the complaint investigation report |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation at The Gardens at Rivermont Assisted Living Center based on allegations related to resident abuse, nutrition and hydration, bathing and assistance with ADLs, and staffing adequacy.
Findings
The investigation found all allegations to be unsubstantiated with no deficient practices identified. Residents were observed to be clean, appropriately dressed, and well cared for, with staff providing adequate assistance and respect. No deficiencies were cited during the investigation.
Complaint Details
Four allegations were investigated: failure to ensure residents were not abused, failure to provide proper nutrition and hydration, failure to provide baths according to schedule and assistance with ADLs, and failure to provide adequate staff. All allegations were unsubstantiated.
Report Facts
Number of residents sampled: 8
Investigation dates: Investigation conducted from 2023-03-21 to 2023-03-23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennie Lewis | CHFS/LPN | Signed the determination summary and follow-up action section of the report |
| Lisa Calvin | Long Term Care Enforcement Analyst | Author of the cover letter for the inspection report |
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Oct 10, 2022
Visit Reason
This document is a license renewal certificate issued to Canadian Trails ILF ALF, LLC for The Gardens at Rivermont, an assisted living center, indicating the renewal of the facility's license.
Findings
The document certifies that the facility is licensed to conduct and maintain an assisted living center with a maximum capacity of 70 beds. It confirms the license type as renewal, effective from 08/07/2022 to 08/06/2025.
Report Facts
Maximum licensed beds: 70
Inspection Report
Routine
Census: 53
Deficiencies: 0
Nov 2, 2020
Visit Reason
The Oklahoma State Department of Health conducted a COVID-19 Special Focus Infection Control Survey to determine if the facility was in compliance with 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 November 2, 2020.
Report Facts
Total residents: 53
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Jun 15, 2020
Visit Reason
This document is a license renewal issued to Canadian Trails ILF ALF, LLC for The Gardens at Rivermont, certifying the facility to conduct and maintain an Assisted Living Center.
Findings
The document certifies the renewal of the assisted living center license with a maximum capacity of 70 beds, effective from 08/07/2020 to 08/06/2021.
Report Facts
Maximum licensed beds: 70
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Aug 7, 2019
Visit Reason
The document is a license renewal issued to Canadian Trails ILF ALF, LLC for The Gardens at Rivermont, certifying the facility to conduct and maintain an assisted living center.
Findings
This document certifies the renewal of the assisted living center license for a maximum of 70 beds at the specified location. No inspection findings or deficiencies are stated.
Report Facts
Maximum licensed beds: 70
Inspection Report
Renewal
Census: 48
Deficiencies: 0
Apr 1, 2019
Visit Reason
A re-licensure survey was conducted on March 28, 2019 and April 1, 2019 at the Assisted Living Center.
Findings
No deficiencies or deficient practices were cited during the inspection.
Report Facts
Resident census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kay Determan | Long Term Care Enforcement Reviewer | Signed the cover letter of the inspection report |
| June Rose | Administrator | Administrator of The Gardens At Rivermont |
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