Edmond Health Care Center

In the surveyor’s words

From the most serious findings on record at Edmond Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 4, 2025

  On 07/31/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to:a. ensure Residents #1 and #2 were free from abuse;b. act on Resident #2's known behavioral patterns; andc. protect Resident #1 from serious harm.Resident #2 with known behavioral patterns was observed by staff to be impaired and suspected of being under the influence of drugs on the night or early morning hours of 07/24/25 with glossy eyes, dilated pupils, talking to themselves and with noted confusion. Resident #2 was documented as entering other resident rooms while suspected of being under the influence of drugs and with impaired decision making. The facility did not implement interventions. […]

• Immediate jeopardy, isolatedF684Mar 24, 2025

  On 03/21/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to assess, intervene, and evaluate a resident in accordance with physician's orders and professional standards of practice for Resident #2. On 03/21/25 at 10:21 a.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On 03/21/25 at 1:45 p.m., the administrator, DON, and the director of clinical services were notified of the IJ situation and the IJ template was provided. On 3/24/25 at 1:55 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. […]

• Immediate jeopardy, isolatedF689Mar 24, 2025

  On 03/18/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to supervise a resident with a known history of suicide attempt from access to a box cutter for Resident #4. On 03/18/25 at 5:23 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On 03/18/25 at 5:28 p.m., the administrator and the chief nursing officer were notified of the IJ situation and the IJ template was provided. On 3/20/25 at 9:37 a.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. […]

• Actual harm, isolatedF742Aug 4, 2025

  Based on observation, record review, and interview, the facility failed to ensure a resident who had a mental health disorder and observed a traumatic event at the facility [NAME]. a care plan developed that thoroughly described the distress from a person-centered perspective; andb. appropriate interventions in place to address the trauma the resident experienced for 1 (#4) of 6 sampled residents reviewed for abuse. The BOM identified 78 residents resided in the facility.Findings: On 07/30/25 at 9:13 a.m., Resident #4 was observed seated on the bed in their room with family member #1 present in the room. A quarterly resident assessment, dated 06/29/25, showed Resident #4's cognition was severely impaired (BIMS 04). […]

• No harm, potential for more than minimal, widespreadF812Jul 11, 2023

  Based on observation, record review, and interview, the facility failed to ensure food items were stored and labeled in the refrigerator; and kept at safe temperatures in the freezer. The Resident Census and Conditions of Residents report, dated 07/05/23, documented 81 residents resided in the facility, and three residents received tube feeding. Findings: An undated Receiving Food and Supplies policy, undated, read in part, Food items will be received and handle in accordance with good sanitary practice .All foodstuffs [sic] are to be dated . An undated Purchasing, Receiving and Storage policy, undated, read in part, .Food will be properly stored to preserve flavor, nutritive value, appearance, and safety .The food service director is responsible for inventory control . […]