Accel At Crystal Park

In the surveyor’s words

From the most serious findings on record at Accel At Crystal Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Oct 16, 2025

  On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure physicians orders were followed for medication administration and colostomy care in order to receive timely intervention to prevent a new stoma from becoming necrotic.On [DATE] at 1:59 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation.On [DATE] at 3:04 p.m., the administrator and corporate nurse consultant were notified of the IJ situation and the IJ template was provided.On [DATE] at 8:37 a.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. […]

• Actual harm, isolatedF622Feb 7, 2022

  Based on interview, and record review the facility failed to ensure appropriate placement was found to meet the health and safety needs for one (#1) of three sampled residents reviewed for involuntary discharges. The administrator identified five residents who had received involuntary discharges in the past 12 months. Findings: A Policy and Procedure titled, Notice of Resident Transfer or Discharge .Effective: February 12,2020, read in part, .Standard of Practice: The facility will provide the resident and/or responsible party with a notice of impending transfer or discharge in accordance with the residency agreement and state/CMS guidelines . Res #1 was admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF760Aug 28, 2026

  Based on observation, record review, and interview, the facility failed to ensure: a. blood pressure parameters were followed to prevent a significant medication error for 1 (#43) of 33 medication observations; and b. an IV antibiotic was administered per physician's orders for 1 (#89) of five sampled residents reviewed for IV antibiotics. The administrator identified 60 residents resided in the facility. The MDS coordinator identified 42 residents received blood pressure medications in the facility. […]

• No harm, potential for more than minimal, patternF755May 28, 2026

  Based on record review and interview, the facility failed to ensure medications were available for administration per physician orders for 2 (#5 and #11) of 6 sampled residents reviewed for medication administration.The administrator identified 53 residents resided in the facility.Findings1. A physician order for Resident #11, dated 04/02/26, showed Xalatan 0.005% solution (a medicated eye drop for glaucoma) one drop into both eyes nightly at bedtime, with a start date of 04/02/26.A physician order for Resident #11, dated 04/02/26, showed Modafinil (a medication to promote wakefulness) 200 mg one time a day, with a start date of 04/03/26.A medication administration record for Resident #11, dated 04/02/26 through 04/12/26, showed the following:Modafinil 200 mg tablet was held or missed from… […]

• No harm, potential for more than minimal, patternF880May 28, 2026

  Based on observation, record review, and interview, the facility failed to perform hand hygiene and wear a gown during wound care per enhanced barrier precautions for 1 (#1) of 3 sampled residents reviewed for wound care and infection control. The DON identified 19 residents with wounds and 21 residents with enhanced barrier precautions.Findings: On 05/26/26 at 11:40 a.m., LPN #1 was observed to complete wound care to the right calf of Resident #1. LPN #1 gathered supplies, entered the room of Resident #1, and donned a pair of gloves. LPN #1 was not observed to don a gown. LPN #1 positioned the legs of Resident #1 and removed a dressing from their right calf. LPN #1 was observed to change their gloves but was not observed to perform hand hygiene prior to donning another pair of gloves. […]