Inspection Reports for
Trinity Woods, Inc

3130 SOUTH SANDUSKY AVE, TULSA, OK, 74135

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2020
2021
2024
2025

Census

Latest occupancy rate 65 residents

Based on a October 2025 inspection.

Occupancy over time

30 40 50 60 70 Feb 2020 Feb 2024 Aug 2024 Sep 2024 Oct 2025

Inspection Report

Renewal
Census: 65 Deficiencies: 0 Date: Oct 14, 2025

Visit Reason
A relicensure survey was conducted from October 13, 2025 through October 14, 2025 to assess compliance for license renewal of the assisted living center.

Findings
No deficiencies were cited during the relicensure survey conducted at the facility.

Report Facts
Facility Census: 65

Inspection Report

Renewal
Capacity: 74 Deficiencies: 0 Date: Jul 15, 2025

Visit Reason
This document serves as a renewal license issued to Trinity Woods, Inc. for maintaining an Assisted Living Center located at 3130 South Sandusky Ave, Tulsa, OK.

Findings
The license certifies that Trinity Woods, Inc. is authorized to operate an Assisted Living Center with a maximum capacity of 74 beds. The license is effective from 2025-07-31 through 2028-07-31.

Report Facts
Maximum licensed capacity: 74

Inspection Report

Complaint Investigation
Census: 37 Deficiencies: 0 Date: Sep 11, 2024

Visit Reason
The complaint investigation was conducted due to an allegation that the facility failed to ensure residents were not physically, verbally, or psychosocially abused.

Complaint Details
The complaint alleged failure to prevent physical, verbal, or psychosocial abuse of residents. The investigation was unannounced and included a sample of three residents. The complaint was not substantiated as no deficiencies were cited.
Findings
The investigation included observations, interviews, and record reviews. Residents were observed relaxing and staff were assisting with activities of daily living. No deficiencies were cited as a result of the investigation.

Report Facts
Facility Census: 37 Complaint Investigation Dates: 2

Employees mentioned
NameTitleContext
Lisa CalvinEnforcement Analyst IIAuthor of the complaint investigation report

Inspection Report

Complaint Investigation
Census: 60 Deficiencies: 1 Date: Aug 30, 2024

Visit Reason
A complaint investigation was conducted due to an allegation that the facility failed to protect a resident from physical abuse by an employee.

Complaint Details
The complaint alleged failure to protect a resident from physical abuse by an employee. The abuse was substantiated by the facility after investigation.
Findings
The investigation substantiated that physical abuse occurred between a staff member and a resident. The staff member was placed on administrative leave and subsequently terminated. The resident was assessed with no injuries found. Staff were re-educated on abuse policies.

Deficiencies (1)
Facility failed to prevent abuse for one resident sampled for abuse.
Report Facts
Facility Census: 60 Investigation Dates: 2024-08-29 to 2024-08-30 Plan of Correction Completion Date: Aug 31, 2024

Employees mentioned
NameTitleContext
Lisa CalvinEnforcement Analyst IISigned enforcement letters and conducted follow-up
Tempal KillmanEnforcement AnalystSigned acceptance letter for plan of correction
Britani ChappellAdministratorFacility administrator involved in the investigation and plan of correction

Inspection Report

Renewal
Census: 62 Deficiencies: 0 Date: Feb 14, 2024

Visit Reason
A relicensure survey was conducted from 02/12/24 through 02/14/24 in conjunction with a complaint investigation (#OK00061554).

Complaint Details
The complaint alleged that the center failed to ensure meals were served according to schedule and residents' requests, failed to ensure residents were treated with dignity and respect, and failed to provide care according to assessment, plan of care, contract, and residents' acuity of care. The investigation was unannounced and included observations, interviews, and record reviews. No deficiencies were cited.
Findings
No deficiencies were cited during the relicensure survey and complaint investigation. Observations and interviews were conducted, and resident records were reviewed with no issues found.

Report Facts
Facility Census: 62 Investigation Date Range: From 2024-02-12 through 2024-02-15

Notice

Capacity: 74 Deficiencies: 0 Date: Mar 30, 2021

Visit Reason
This document serves as a license certifying that Oklahoma Methodist Manor, Inc. is authorized to conduct and maintain an Assisted Living Center at the specified location.

Findings
The license certifies the facility's compliance with state statutes and regulations, allowing operation with a maximum capacity of 74 beds. The license is effective from 03/11/2021 and expires on or before 07/31/2021.

Report Facts
Maximum licensed beds: 74

Inspection Report

Renewal
Capacity: 50 Deficiencies: 0 Date: Sep 8, 2020

Visit Reason
This document is a renewal license issued to Oklahoma Methodist Manor, Inc. to conduct and maintain an Assisted Living Center.

Findings
The license certifies the facility's compliance with the Oklahoma State Department of Health regulations for assisted living centers and authorizes operation with a maximum capacity of 50 beds.

Report Facts
Maximum licensed beds: 50

Inspection Report

Renewal
Census: 37 Deficiencies: 2 Date: Feb 26, 2020

Visit Reason
A re-licensure survey was conducted at Oklahoma Methodist Manor Inc. to assess compliance with state licensure requirements.

Findings
Deficiencies were found related to resident service contracts lacking clear statements of terms, renewal, and cancellation, and failure to ensure physician-ordered laboratory tests were completed for sampled residents. The facility submitted an acceptable plan of correction and was found to have corrected deficiencies by May 22, 2020.

Deficiencies (2)
Resident service contracts did not contain clear statements of terms, renewal, and cancellation for 3 sampled residents.
Failure to ensure laboratory tests were completed as ordered by the physician for 3 sampled residents.
Report Facts
Census: 37 Deficiencies cited: 2

Employees mentioned
NameTitleContext
Jacob WillAdministratorNamed as facility administrator in the report
Katie StagnerLong Term Care Enforcement ReviewerSigned enforcement correspondence and acceptance letter
Lisa CalvinEnforcement Reviewer/AnalystSigned offsite revisit letter confirming correction of deficiencies

Notice

Capacity: 50 Deficiencies: 0 Date: Jan 7, 2020

Visit Reason
This document serves as a license certifying that Oklahoma Methodist Manor, Inc. is authorized to conduct and maintain an Assisted Living Center at the specified location.

Findings
The license certifies the facility's compliance with state regulations to operate as an Assisted Living Center with a maximum capacity of 50 beds, effective from January 7, 2020, through July 31, 2020.

Report Facts
Maximum licensed beds: 50

Inspection Report

Renewal
Capacity: 50 Deficiencies: 0 Date: Jul 15, 2019

Visit Reason
This document is a renewal license issued to Oklahoma Methodist Manor, Inc. 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 50 beds. No deficiencies or findings are stated in this document.

Report Facts
Maximum beds: 50

Employees mentioned
NameTitleContext
Tom BatesInterim Commissioner of HealthSigned as the licensure official on the renewal license

Report

Jul 3, 2024

Report

Jun 15, 2023

Report

Dec 6, 2019

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