Oklahoma Memory Care Institute

In the surveyor’s words

From the most serious findings on record at Oklahoma Memory Care Institute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 11, 2025

  A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 01/30/25 related to the facility's failure to supervise and prevent a resident from elopement. The facility failed to prevent Resident #1 from eloping from the facility which had the potential to result in serious injury or harm. On 02/11/24, the Oklahoma State Department of Health verified the existence of the past noncompliance IJ related to the facility's failure to protect and prevent accident hazards related to elopement. The past noncompliance IJ was removed effective 01/31/25 after the facility put measures in place to prevent recurrence. […]

• No harm, potential for more than minimal, patternF578Aug 27, 2026

  Based on record review and interview, the facility failed to offer residents a choice to formulate an advance directive for 3 (#18, 36 and #37) of 3 sampled residents reviewed for advance directive acknowledgements. The administrator identified 35 residents resided at the facility. Findings: A policy titled Advance Directives, dated 11/2022, read in part, 1. The resident has the right to formulate an advance directive, including the right to accept or refuse medical or surgical treatment. 2. Prior to or upon admission of a resident, the social services director or designee inquires of the resident, his/her family members and/or his or her legal representative, about the existence of any written advance directives. […]

• No harm, potential for more than minimal, patternF600Mar 18, 2026

  Based on record review and interview, the facility failed to maintain an abuse free environment for 3 (#2, 3, and #4) of 5 sampled residents reviewed for abuse. The administrator identified 38 residents resided in the facility. Findings:A facility policy titled Abuse, Neglect and Exploitation, implemented 01/2026, read in part, The facility will develop and implement written policies and procedures that: Prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property.Establishing a safe environment that supports, to the extent possible, a resident's consensual sexual relationship and by establishing policies and protocols for preventing sexual abuse.1. […]

• No harm, potential for more than minimal, patternF550Oct 31, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents were treated with dignity by being called their preferred name for three (#18, 20, and #24) and failed to ensure dignity with dining for nine (#5, 10, 12, 15, 18, 26, 33, 34, and #44) of eight sampled residents who were reviewed for dignity. The DON identified eight residents who were dependent on staff for meals who ate in the dining room. Findings: An undated Promoting/Maintaining Resident Dignity During Mealtimes policy, read in part, .All staff will be seated, if possible, while feeding a resident . 1. On 10/28/24 at 8:21 a.m., the DON was observed to assist dependent residents with the morning meal in the dining room. […]

• No harm, potential for more than minimal, patternF689Oct 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were transferred safely with a mechanical lift for two (#21 and #18) of two sampled residents reviewed for mechanical transfers. The DON identified four residents who utilized a mechanical lift. Findings: 1. Resident #21 had diagnoses which included dementia, anxiety, and heart failure. A care plan for Resident #21, initiated 02/28/24, documented to transfer with two staff using the mechanical lift. On 10/28/24 8:04 a.m., CNA #2 entered the room of Resident #21 alone with the mechanical lift. On 10/28/24 at 8:29 a.m., CNA #2 opened the door to the room of Resident #21. The mechanical lift was observed in the room and the resident was observed to be in their wheel chair with the sling under them. […]