Heritage Park

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 29, 2023

  On 03/28/23 at 3:20 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure residents were not missing from the facility and had procedures in place to account for all residents during the shift. Resident #1 had diagnoses which included depression, insomnia, alcohol dependency with alcohol induced dementia. The Residents cognition was intact and he was his own responsible party. The resident had wandering assessments dated 08/15/22, 11/01/22 and 01/18/23 with scores of 7.0 which was a moderate risk for wandering. The care plan did not address wandering or elopement risk for Resident #1. […]

• No harm, potential for more than minimal, widespreadF837Jul 8, 2026

  Based on interview and document review the facility's governing body failed to appoint a licensed administrator to be accountable and manage the facility since 05/07/2026. The deficient practice had the potential to affect all residents residing in the facility.Findings included: A letter from the Oklahoma State Department of Health (OSDH) to another facility, dated 06/18/2026, revealed this facility's Previous Administrator became the administrator of record of another facility beginning 05/07/2026. During an interview on 07/04/2026 at 11:00 AM, the Chief Financial Officer stated the last day the facility had a licensed administrator was on 05/07/2026, and the facility did not currently have a licensed administrator. […]

• No harm, potential for more than minimal, widespreadF880Jul 8, 2026

  Based on interview and document review, the facility failed to ensure all staff were fit-tested for an N-95 respirator mask (protects residents and staff from the transfer of microorganisms that can cause infectious disease) per the Centers for Disease Control (CDC). This deficient practice had the potential to affect all 43 residents who resided in the facility.Findings included: A CDC document titled, National Institute for Occupational Safety and Health (NIOSH) Personal Protective Equipment, dated 02/03/2025, indicated, Before using a tight-fitting respirator in the workplace, The Occupational Safety and Health Administration (OSHA) requires users to pass a fit test to confirm proper fit and a tight seal against the user's face. […]

• No harm, potential for more than minimal, patternF600Jul 8, 2026

  Based on interview, record review, facility document review, and facility policy review, the facility failed to protect the residents' right to be free from physical and verbal abuse perpetrated by a resident (Resident #33), which affected 4 (Residents #35, #39, #51, and #56) of 7 residents reviewed for abuse. Specifically, on 07/29/2025, Resident #33 pulled Resident #56 from a chair against their will, open-hand slapped Resident #51 on the face on 01/20/2026, caused Resident #39 to cry on 01/23/2026 when they snatched a bingo card from Resident #39 and called Resident #39 a vulgar slur, and hit Resident #35 on 06/04/2026. […]

• No harm, potential for more than minimal, patternF609Jul 8, 2026

  Based on interview, record review, facility document review, and facility policy review, the facility failed to ensure allegations of abuse were reported to the state survey agency within two hours after the allegation was made, which affected 4 (Residents #35, #39, #51, and #56) of 7 residents reviewed for abuseFindings included: A facility policy titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, revised 04/2021, revealed, All reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management. The policy revealed, 1. […]