Inspection Reports for Chapters Living of Tulsa

Multiple complaints investigated including failure to prevent abuse or involuntary seclusion, failure to report abuse within required timeframes, failure to secure exit doors to prevent elopement, failure to notify legal surrogates of medical regimen changes, and failure to provide family/legal surrogate access to medical records. The investigations included interviews, observations, and record reviews. One specific abuse allegation involved a nurse aide allegedly hitting a resident with a water bottle, which was not reported to the state as required.

The facility was found deficient in ensuring residents received complete meals as approved by a registered dietitian, failed to report allegations of abuse to the Oklahoma State Department of Health and the Nurse Aide Registry as required, and had other cited deficiencies. The facility was given an opportunity to correct these deficiencies and submitted an acceptable plan of correction.

The complaint investigation was initiated due to allegations that the center failed to provide adequate medical care and services, failed to administer medications according to physician orders, failed to ensure adequate hydration, failed to provide activities according to plan of care, failed to notify residents/representatives of changes, failed to treat residents with dignity and respect, failed to provide adequate lighting and staffing, failed to ensure food safety and proper dietary staffing, and failed to prevent abuse and neglect.

The investigation found multiple deficiencies including failure to maintain resident records, inadequate medical care, medication errors, abuse and neglect concerns, insufficient staffing, and food safety violations. The facility was given an opportunity to correct these deficiencies and submitted an acceptable plan of correction.

The facility was found deficient in maintaining dish machine sanitation, ensuring direct care staff received CPR and first aid training, and safe medication administration practices including crushing medications that should not be crushed and failure to monitor blood pressure prior to medication administration.

Complaint #OK00060222 involved allegations of failure to ensure heat and electrical outlets in resident rooms, failure to communicate facility to facility, and failure to report a fire and electrical outages. The first and third allegations were substantiated; the second was unsubstantiated.

The investigation substantiated deficient practices related to inadequate heat and electrical outlets in resident rooms and failure to report a fire and related incidents to the State Agency. The facility was clean and residents were observed to be well cared for. The allegation regarding failure to communicate facility to facility was unsubstantiated.

The complaint included five allegations: 1) failure to ensure residents were not neglected (unsubstantiated), 2) failure to ensure residents were administered medications as ordered and medications were available (substantiated), 3) failure to ensure resident’s property was not misappropriated (unsubstantiated), 4) failure to provide timely incontinent care (unsubstantiated), and 5) failure to provide adequate staff for dependent residents (unsubstantiated).

The investigation substantiated deficient practice related to medication administration for three residents, including failure to maintain accurate medication records and failure to administer medications as ordered. Other allegations including neglect, misappropriation of property, timely incontinent care, and staffing adequacy were unsubstantiated.

Complaint investigation involved allegations that the center failed to ensure a refund was issued as contracted (unsubstantiated), failed to have and/or implement their abuse policy (unsubstantiated), failed to administer medications according to physician's orders (substantiated), and failed to ensure residents' contracted services were provided (unsubstantiated).

The investigation found one allegation substantiated related to medication administration, while other allegations including contract refunds, abuse policy, and contracted services were unsubstantiated. Deficiencies were cited related to medication administration.

The complaint allegation that the center failed to refund money as stated in the resident's contract was substantiated.

Deficient practice was substantiated related to the allegation that the center failed to refund money as stated in the resident's contract. Additional violations unrelated to the complaint were also cited during the investigation.