The Highlands at Owasso

In the surveyor’s words

From the most serious findings on record at The Highlands at Owasso, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Mar 13, 2026

  A past noncompliance immediate Jeopardy situation was determined to exist effective [DATE] related to the facility's failure to ensure residents were free from significant medication errors. Based on record review and interview, the facility failed to ensure:a. the correct resident was identified before administering medications; andb. a resident was free from significant medication errors for 1 (#1) of 3 sampled residents reviewed for medication administration.The ADON identified 88 residents received medications from the facility. […]

• Actual harm, isolatedF689Feb 2, 2026

  Based on observation, record review, and interview, the facility failed to safely transfer a resident using a mechanical lift for 1 (#2) of 4 sampled residents reviewed for the safe use of a mechanical lift for transfers. The ADON identified 14 residents utilized a mechanical lift for transfers. Findings:On 01/07/26 at 2:21 p.m., Resident #2 was observed in their room, sitting in their recliner. Resident #2 was dressed and their call light was in reach. An undated facility policy titled Safe Lifting and Movement of Residents, read in part, In order to protect the safety and well-being of staff and residents, and to promote quality care, this facility uses appropriate techniques and devices to lift and move residents.Staff responsible for direct resident care will be trained in the use of… […]

• No harm, potential for more than minimal, widespreadF727May 6, 2025

  Based on record review and interview, the facility failed to ensure the DON had not worked as a charge nurse when the facility census was above 60 residents and failed to ensure the DON worked 40 hours each week. The Administrator stated the facility had a census greater than 90 residents for 36 days from 04/01/25 to 05/06/25. Findings: An undated policy titled Director of Nursing Services (DNS), read in part, The DNS may serve as a charge nurse only when the facility has an average daily occupancy of 60 or fewer residents. […]

• No harm, potential for more than minimal, widespreadF880May 6, 2025

  Based on record review and interview, the facility failed to ensure a water management plan to prevent waterborne pathogens had been implemented. The administrator reported 95 residents reside at the facility. Findings: A facility policy titled Legionella Water Management Program, dated September 2022, read in part, As part of the infection prevention control program, our facility has a water management program, which is overseen by the water management team. The document also showed: a. There was a water management team consisting of the infection preventionist, the administrator, the medical director or their designee, the director of maintenance, and the director of environmental services; b. […]

• No harm, potential for more than minimal, patternF582May 6, 2025

  Based on record review and interview, the facility failed to ensure residents were provided with a Notice of Medicare Non-Coverage at least two days prior to the end of skilled services for 2 (#99 and #100) of 3 sampled residents reviewed for beneficiary notices. The administrator identified 46 residents who had been discharged from skilled services from 11/06/24 through 05/06/25. Findings: An undated policy titled Policy on Issuing Notice of Medicare Non-Coverage (NOMNC), read in part, The NOMNC must be delivered at least two days before Medicare-covered services are scheduled to end. A Notice of Medicare Non-Coverage form for Resident #99 showed the resident's skilled services would end on 12/19/24. […]