Inspection Reports for West Wind Assisted Living

111 NORTH 9TH STREET, MARLOW, OK, 73055

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 0.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

86% better than Oklahoma average
Oklahoma average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 47 residents

Based on a November 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

21 28 35 42 49 56 Jul 2020 May 2023 Jun 2024 Nov 2025
Inspection Report Renewal Census: 47 Deficiencies: 0 Nov 10, 2025
Visit Reason
The inspection was a relicensure survey with complaint investigations conducted at West Wind Assisted Living on November 10, 2025.
Findings
No deficiencies were cited during the relicensure survey and complaint investigations. The investigations included allegations of abuse and failure to ensure residents' representatives had access to telephone communication with staff.
Complaint Details
Two complaints were investigated: one alleging the facility failed to ensure residents were free from abuse, and another alleging the center failed to ensure residents' representatives had access to telephone communication with staff. Both investigations were unannounced and conducted on November 6 and 10, 2025. No deficiencies were cited.
Report Facts
Facility Census: 47 Complaint Investigation Sample Size: 5
Inspection Report Renewal Census: 47 Deficiencies: 1 Jun 12, 2024
Visit Reason
A relicensure survey was conducted at West Wind Assisted Living to assess compliance with state licensure requirements.
Findings
The facility failed to ensure that each comprehensive assessment included a personal interview between the resident or their representative and the person completing the form for seven of eight sampled residents. The facility was found to have deficiencies representing potential for more than minimal harm.
Severity Breakdown
SS=E: 1
Deficiencies (1)
DescriptionSeverity
Failed to ensure each comprehensive assessment included a personal interview between the resident or their representative and the person completing the form for seven of eight sampled residents.SS=E
Report Facts
Resident census: 47 Number of sampled residents with deficient assessments: 7
Employees Mentioned
NameTitleContext
Tempal KillmanEnforcement AnalystSigned enforcement and follow-up letters
Jessica GarvinAdministratorFacility administrator during follow-up and plan of correction
Jeff GregstonAdministratorFacility administrator at time of initial survey
DONDirector of NursingStated unawareness that signatures were mandatory on assessments
Inspection Report Renewal Census: 42 Deficiencies: 4 May 10, 2023
Visit Reason
A relicensure survey was conducted from May 9, 2023 through May 10, 2023 to assess compliance with assisted living center regulations.
Findings
The facility was found deficient in completing comprehensive resident assessments annually, conducting monthly medication reviews by a registered nurse or pharmacist, performing appropriate hand hygiene during medication administration, and coordinating hospice care services for residents.
Severity Breakdown
SS=D: 1 SS=E: 2
Deficiencies (4)
DescriptionSeverity
Failed to ensure a comprehensive assessment was completed at least every 12 months for one of eight residents reviewed.SS=D
Failed to ensure monthly medication reviews were conducted by a registered nurse or pharmacist for three residents reviewed for medications.SS=E
Failed to perform appropriate hand hygiene during medication administration for five of eleven residents observed.
Failed to monitor services and coordinate care provided by hospice for two residents reviewed for hospice services.SS=E
Report Facts
Residents present: 42 Residents reviewed for comprehensive assessments: 8 Residents reviewed for medication reviews: 3 Residents observed for medication administration: 11 Residents receiving hospice care: 7 Deficiencies cited: 4
Employees Mentioned
NameTitleContext
Jeff L. GregstonAdministratorNamed as facility administrator in the report and plan of correction
Katie StagnerEnforcement AnalystSigned enforcement letter
Lisa CalvinEnforcement AnalystSigned revisit letter
Inspection Report Renewal Capacity: 55 Deficiencies: 0 Dec 22, 2022
Visit Reason
This document serves as a license renewal for Gregston Assisted Living Enterprises, L.L.C., authorizing the continued operation of the assisted living center known as West Wind Assisted Living.
Findings
The license renewal certifies that the facility meets the requirements set forth by the Oklahoma State Board of Health and is authorized to maintain a maximum capacity of 55 beds.
Report Facts
Maximum licensed beds: 55
Inspection Report Renewal Capacity: 55 Deficiencies: 0 Jun 24, 2022
Visit Reason
This document is a renewal license issued to Gregston Assisted Living Enterprises, L.L.C. for the West Wind Assisted Living facility, certifying the facility 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 55 beds. No deficiencies or violations are noted in this document.
Report Facts
Maximum licensed beds: 55
Inspection Report Complaint Investigation Deficiencies: 0 May 25, 2022
Visit Reason
The inspection was a complaint investigation conducted at West Wind Assisted Living facility on May 24-25, 2022, triggered by allegations related to medication administration, sound levels, infection control, timely meal service, food preferences, and accommodation of residents' needs.
Findings
The investigation found all allegations to be unsubstantiated with no deficiencies cited. Observations, interviews, and record reviews showed proper medication administration, comfortable sound levels, adherence to infection control policies, timely meal service, respect for food preferences, and adequate accommodation of residents' needs.
Complaint Details
The complaint investigation addressed six allegations: failure to ensure medications were properly administered, failure to provide an environment with comfortable sound levels, failure to follow infection control policies, failure to serve meals timely, failure to honor residents' food preferences, and failure to accommodate residents' needs. All allegations were found unsubstantiated (US).
Report Facts
Investigation dates: Investigation conducted from 2022-05-24 through 2022-05-25
Employees Mentioned
NameTitleContext
Donna AhlbornRN MSN Clinical Health Facility SurveyorNamed as the surveyor who completed the complaint investigation report
Katie StagnerLong Term Care Enforcement ReviewerNamed as the enforcement reviewer who signed the cover letter
Inspection Report Renewal Capacity: 55 Deficiencies: 0 Feb 24, 2021
Visit Reason
This document is a license renewal for Gregston Assisted Living Enterprises, L.L.C., dba West Wind Assisted Living, authorizing the facility to conduct and maintain an Assisted Living Center.
Findings
The license was issued pursuant to Oklahoma statutes and state board of health regulations, valid from 12/22/2020 through 12/21/2021, indicating compliance with renewal requirements.
Report Facts
Maximum licensed beds: 55
Inspection Report Abbreviated Survey Census: 31 Deficiencies: 0 Jul 7, 2020
Visit Reason
The inspection was a COVID-19 Special Focus Infection Control Survey 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.
Findings
No deficiencies were cited during the COVID-19 Special Focus Survey conducted on July 7, 2020.
Report Facts
Total residents: 31
Inspection Report Renewal Capacity: 55 Deficiencies: 0 Mar 14, 2020
Visit Reason
This document serves as a license renewal for Gregston Assisted Living Enterprises, L.L.C., operating as West Wind Assisted Living, certifying the facility to continue operating as an Assisted Living Center.
Findings
The license renewal certifies that the facility meets the provisions of the Oklahoma Statutes and rules and regulations adopted by the State Board of Health, allowing it to maintain operation with a maximum capacity of 55 beds.
Report Facts
Maximum licensed capacity: 55
Notice Capacity: 55 Deficiencies: 0 Mar 8, 2019
Visit Reason
This document serves as a license renewal for Gregston Assisted Living Enterprises, L.L.C., dba West Wind Assisted Living, authorizing the facility to conduct and maintain an assisted living center.
Findings
The document certifies the facility's license renewal with a maximum capacity of 55 beds, effective from 12/22/2018 to 12/21/2019.
Report Facts
Maximum licensed beds: 55

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