Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arbor Village during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and high elopement risk exited through a propped open door left unattended by a kitchen staff member, resulting in a fall on uneven ground and injuries that required hospital evaluation.
The facility did not conduct annual reviews of infection prevention and control policies, failed to assess or evaluate areas at risk for Legionella and other waterborne pathogens, and lacked both preventive measures and monitoring for waterborne pathogen control. These deficiencies were confirmed by the infection prevention coordinator and administrator, with no documentation available to show compliance.
The facility failed to maintain sanitary conditions in food storage, preparation, and service for 77 residents. Issues included improper storage of utensils, lack of beard guards, unclean equipment, and the use of unpasteurized eggs despite offering eggs prepared over easy.
A facility failed to maintain an infection prevention and control program for a resident with pressure ulcers. An LPN did not follow proper hand hygiene and infection control procedures during wound care, including not changing gloves or washing hands between tasks and placing supplies on an unclean surface. The DON confirmed these actions were not in compliance with the facility's hand hygiene policy.
The facility failed to ensure the PASRR for residents with serious mental health diagnoses was filled out correctly and referred to the OHCA. Two residents with PTSD had discrepancies between their PASRR Level I documentation and their quarterly assessments, which noted mental health diagnoses. The Administrator and ADON confirmed that OHCA should have been notified.
The facility failed to ensure that physicians responded to pharmacist medication reviews with a clinical rationale for three residents reviewed for unnecessary medications. Despite pharmacy recommendations to evaluate the use of certain medications, the physicians did not document a rationale for their decisions.
A facility failed to include fall risk and interventions in a baseline care plan for a resident with Alzheimer's, syncope, COPD, and COVID-19. Despite being assessed as high risk for falls, the resident's care plan lacked necessary precautions, leading to a fall incident. The MDS coordinator confirmed the omission, and a fall care plan was only initiated days later.
Resident Elopement and Fall Due to Propped Open Door
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a high risk for elopement exited the facility through a side door that had been propped open by a kitchen staff member. The resident, who had diagnoses including anxiety and vascular dementia and a BIMs score indicating severe cognitive impairment, was able to leave the building unsupervised due to the door being left open. The resident subsequently fell on uneven ground outside the facility and sustained cuts and abrasions, requiring transport to a hospital for evaluation and treatment. The incident was discovered when dietary staff notified nursing staff of the resident's fall outdoors. Facility records indicated that the door was propped open for less than a minute while the staff member took out the trash, but this lapse in protocol allowed the resident to exit unnoticed. The staff member acknowledged breaking facility policy by leaving the door open, which had been locked for safety reasons. The event was reported to the state health department as required.
Failure to Review and Implement Waterborne Pathogen Prevention Program
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program as evidenced by several deficiencies. The infection prevention coordinator and administrator confirmed that infection prevention and control policies and procedures, including those related to Legionella surveillance, had not been reviewed or updated annually, with no documentation of any recent reviews. Additionally, there was no facility assessment or evaluation in place to identify locations where Legionella or other waterborne pathogens could grow and spread, nor were there measures implemented to prevent the growth of such pathogens. The facility also lacked a monitoring process to evaluate the effectiveness of any water pathogen prevention program. At the time of the survey, 64 residents resided in the facility.
Sanitary Conditions in Food Service
Penalty
Summary
The facility failed to store, prepare, and serve food under sanitary conditions for 77 residents. Observations revealed several deficiencies: a scoop was left in the sugar bin, a staff member with a beard was not wearing a beard guard, and the dish machine had accumulated dust and dirt. Additionally, a can of soda had burst open in the freezer, and the stove had a black substance layer on the bottom and a large amount of brown substance on the inside. The cook admitted there was no current cleaning schedule, and the last documented cleaning was in November. During a meal service observation, it was noted that the facility had two cases of unpasteurized eggs but no pasteurized eggs available, despite offering eggs prepared over easy. The dietary supervisor confirmed that only unpasteurized eggs had been received in the recent food delivery and was unsure when the last pasteurized eggs had been received. These actions and inactions led to the deficiency in maintaining sanitary conditions in food storage, preparation, and service.
Infection Control Deficiency During Wound Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program for a resident with pressure ulcers. The resident had diagnoses including hemiplegia, hemiparesis, type 2 diabetes mellitus, and pain, and had a documented stage 2 pressure ulcer on the right ankle. During a wound care observation, an LPN did not follow proper hand hygiene and infection control procedures. The LPN placed supplies on an unclean bedside table, did not change gloves or wash hands between tasks, and used the same gloves to handle different areas of the resident's body and open new packages. The LPN only used alcohol hand gel after exiting the room, which was not in compliance with the facility's hand hygiene policy. The Director of Nursing (DON) confirmed that the LPN should have provided a clean surface for supplies and changed gloves and washed hands between tasks. The facility's hand hygiene policy required staff to perform proper hand hygiene to prevent the spread of infection, including washing hands after handling contaminated objects and before and after removing personal protective equipment. The LPN acknowledged the failure to change gloves or wash hands between tasks during the wound care procedure.
Failure to Ensure Accurate PASRR Documentation and Referral
Penalty
Summary
The facility failed to ensure the PASRR for residents with serious mental health diagnoses was filled out correctly and referred to the OHCA. Resident #14, admitted with diagnoses including PTSD, COPD, A-Fib, Depression, and alcohol abuse, had a PASRR Level I dated 06/13/23 that documented no mental health diagnosis, while a quarterly assessment dated 01/09/24 documented a mental health diagnosis. Similarly, Resident #25, admitted with diagnoses including PTSD, heart failure, HTN, dementia, obstructive sleep apnea, DM, and GERD, had a PASRR Level I dated 10/12/23 that documented no mental health diagnosis, while a quarterly assessment dated 01/11/24 documented a mental health diagnosis. The Administrator and ADON confirmed that OHCA should have been notified of the mental health diagnoses of PTSD for both residents.
Failure to Document Clinical Rationale for Medication Reviews
Penalty
Summary
The facility failed to ensure that physicians responded to pharmacist medication reviews with a clinical rationale for three of five sampled residents reviewed for unnecessary medications. Resident #1, admitted with diagnoses including hypertension, dementia, and depression, had pharmacy recommendations to evaluate the use of Glimeperide and a combination of opioid and gabapentinoid, but the physician did not document a rationale. Resident #25, with diagnoses such as heart failure, diabetes mellitus, hypertension, dementia, PTSD, and obstructive sleep apnea, had a pharmacy recommendation to evaluate the use of an opioid with a gabapentinoid, but again, no rationale was documented by the physician. Resident #34, admitted with diagnoses including depression, COPD, diabetes mellitus, Parkinson's, anxiety, and hypertension, had a pharmacy request to evaluate the use of an opioid with a gabapentinoid, but the physician did not document a rationale. The Director of Nursing confirmed that the GDRs should have included a rationale from the physician.
Failure to Include Fall Risk in Baseline Care Plan
Penalty
Summary
The facility failed to ensure a baseline care plan included fall risk and interventions for a resident admitted with diagnoses including Alzheimer's disease, syncope and collapse, COPD, and COVID-19. Despite a fall risk assessment indicating the resident was at high risk for falls, the baseline care plan initiated did not document this risk or include any fall interventions. This oversight led to an incident where the resident was found on the floor by a nurse, having apparently rolled from their bed. Although no injuries were reported, a concave mattress was applied as a fall intervention following the incident. The deficiency was further highlighted when the MDS coordinator confirmed that fall risk and precautions should have been included in the baseline care plan but were not. The resident's admission MDS documented that they were cognitively intact, used a walker, and required partial assistance with transfers and walking. The fall care plan was only initiated several days after the incident, including various interventions such as frequent checks, assistance with transfers, and physical therapy evaluation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 61 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sapulpa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beacon Ridge | 1 mi | — | 0 | 0 |
| The Gardens | 2 mi | — | 0 | 0 |
| Covenant Living At Inverness | 7.1 mi | — | 0 | 0 |
| Glenwood Skilled Nursing And Therapy | 7.8 mi | — | 0 | 0 |
| Grace Skilled Nursing And Therapy Jenks | 9 mi | — | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Arbor Village.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.