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Complaint Investigation

24th Place

October 2, 2025 · Norman, OK · 600 24th Avenue Southwest
Citations 8
CMS Rating 1/5
Beds 89
Provider ID 375222
Healthcare Facility
24th Place
Norman, OK  ·  View full profile →
Inspection Summary

24th Place in Norman, OK — inspection on October 2, 2025.

Found 8 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0574
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on observation and interview, the facility failed to ensure contact information for filing a complaint with the State agency was available to the residents.The administrator identified 74 residents resided in the facility.

Findings:On 09/26/25 at 4:08 p.m., the administrator and surveyor observed the information board.

On 09/26/25 at 2:38 p.m., the resident council group stated the contact information for filing a complaint with the State agency was covered and not visible.

They stated they wanted to contact the State agency a month ago, but could not. On 09/26/25 at 4:06 p.m., the administrator stated the information for filing a complaint with the State agency was posted at the information board by the facility entrance. On 09/26/25 at 4:08 p.m., the administrator stated the contact information on the form was not visible to residents.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

24th Place

600 24th Avenue Southwest Norman, OK 73069

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation and interview, the facility failed to ensure the most recent state survey results were readily accessible to residents, family members, and legal representatives of the residents.The administrator identified 74 residents resided in the facility.

Findings: On 09/26/25 at 1:39 p.m., the information board observed at the facility entrance showed the current survey and past three years of state survey were available at the screening desk.The surveyor was unable to locate the past survey results at the screening desk.On 09/26/25 at 2:34 p.m., the resident council group stated the past survey results were located at the nurses' station.On 09/26/25 at 4:13 p.m., the administrator provided the past survey results binder from inside the nurses station.

They stated residents were not allowed to enter the nurses station.

The administrator stated the results should be on the nurses station counter for resident access.On 09/26/25 at 4:23 p.m., the administrator stated the binder did not contain results of the 2024 annual recertification survey.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

24th Place

600 24th Avenue Southwest Norman, OK 73069

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited 24TH PLACE in NORMAN, OK for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-10-02.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of 24TH PLACE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-21.

a resident fell, staff were to do an incident report, implement immediate interventions, notify family, physician, administrator, and director of nursing.

They stated they did a track and trending and if the resident had two or more falls in a month, they would complete a Five Why to find the root cause of the falls.

They stated the nurses would implement interventions to prevent reoccurring falls. On 10/01/25 at 11:13 a.m., the chief nursing officer stated they could not locate any interventions related to the fall on 03/19/25.On 10/01/25 at 11:35 a.m., the chief nursing officer stated they could not locate documentation a Five Why was completed after the fall on 03/17/25 and on 04/19/25.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

24th Place

600 24th Avenue Southwest Norman, OK 73069

SUMMARY STATEMENT OF DEFICIENCIES

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jeopardy to resident health or safety

On [DATE] at 8:57 a.m., Resident #31 stated they were on oxygen for more than three months.

They stated they were on 3 liters of oxygen.

On [DATE] at 9:18 a.m., LPN #2 stated a physician's order was needed for oxygen administration.

On [DATE] at 9:19 a.m., LPN #2 stated Resident #31 was on oxygen.

On [DATE] at 9:22 a.m., LPN #2 stated Resident #31 did not have a physician's order for the use of oxygen.

On [DATE] at 9:23 a.m., LPN #2 stated the resident was on three liters of oxygen.

On [DATE] at 3:07 p.m., corporate nurse consultant #1 stated residents needed a physician's order for oxygen use.

Facility ID:

Federal health inspectors cited 24TH PLACE in NORMAN, OK for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-10-02.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of 24TH PLACE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-21.

Federal health inspectors cited 24TH PLACE in NORMAN, OK for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-10-02.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of 24TH PLACE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-21.

Federal health inspectors cited 24TH PLACE in NORMAN, OK for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-10-02.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of 24TH PLACE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-21.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Norman, OK, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from 24th Place or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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