Arbor Village
Arbor Village in Sapulpa, OK — inspection on August 10, 2025.
Found 2 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.
Inspection Findings
Based on record review and interview, the facility failed to provide an environment free of accident
identified 84 residents resided in the facility.
Findings:A quarterly assessment, dated 02/24/25 ,showed Resident #69 had diagnoses which included anxiety and vascular dementia, and a BIMs score of 5 which indicated the resident was severely cognitively impaired for daily decision making. An elopement evaluation, dated, 03/04/25, showed a score of 9 which put Resident #2 at risk for elopement.
The evaluation showed Resident #2 had a history of walking around the facility but did not exhibit exit seeking behaviors. A progress note, dated 04/24/25 at 7:00 p.m., showed dietary staff notified nursing staff Resident #2 had fallen outdoors.
The progress note showed Resident #2 was transported to a hospital for evaluation. A facility incident report to the Oklahoma Stated Department of Health, dated 04/24/25, showed Resident #2 exited the facility through a propped open door and fell on the uneven ground.
The report showed the resident was assessed and treated for injuries at a local hospital.On 08/07/25 at 2:20 p.m., the administrator in training #1 reported the investigation was completed by the previous administrator.
They stated the investigation showed a kitchen staff member propped a side door open to take out the trash. Resident #2 walked out the propped open door, stumbled and fell resulting in cuts and abrasions.
The administrator in training #1 stated the kitchen staff who propped open the door was educated on resident safety, facility policies and protocols, and allowed to return to work. On 08/07/25 at 2:20 p.m., the admissions coordinator reported the staff member should not have left the door propped open.
They stated there was a reason the door was locked in the first place.
They (cook #1) broke facility protocols for protecting the safety of the resident. On 08/10/25 at 1:37 p.m., [NAME] #1 stated they propped open the door to take the trash out of the kitchen, and Resident #69 walked out of the open door and fell on the ground. [NAME] #1 stated it was the first time they had propped open the door to take out the trash.
They stated the door was propped open for less than a minute. [NAME] #1 stated they regretted propping open the door and would not do it again.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
375284 08/10/2025
Arbor Village 310 W Taft Ave Sapulpa, OK 74066
waterborne pathogens can grow and spread,c. implement measures to prevent the growth of
program.The administrator reported 64 residents resided in the facility.
FindingsA facility policy titled Legionella Surveillance, implemented on 08/22/22, did not include a plan for assessing, evaluating and monitoring the measures to prevent the growth of waterborne pathogens.On 08/07/25 at 2:20 p.m., the infection prevention coordinator was asked about annual review of policies.
They stated they were not current and had not been reviewed in a few years.On 08/10/25 at 10:05 a.m., the administrator was asked about the annual review of infection control policies.
They stated they could not find any documentation of any reviews.On 08/07/25 at 2:20 p.m., the infection prevention coordinator was asked about the facility assessment and evaluation for Legionella or waterborne pathogens.
They stated there was not a facility assessment or evaluation in place.On 08/10/25 at 10:05 a.m., the administrator was asked if there was any documentation a facility assessment or evaluation related to Legionella or waterborne pathogens had been completed.
They stated there was not any documentation they were aware of showing this had been done.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.