Summary of Facility Monitoring
Facility Name: BEAR LODGE Date: 10/6/2026 Time: 6:25:04 PM
Case Number: K850051565



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Program Name BEAR LODGE Director Christopher Lund
Location 2727 South 137th West Ave

Sand Springs, Oklahoma 74063 		E-Mail Address kcallen@tbhinc.org
Program Phone (918) 245-0231 County of Facility Tulsa
Program Type Residential Program Subtype Residential
Residential Specialist Name Christy Haws Residential Specialist
Phone Number 		(918) 348-9804
Capacity 12 Services Provided


Monitoring Summary since 10/6/2023
Listed below are the non-compliances OBSERVED during a visit. The regulation, its description, the non-compliance observed according to the regulation, and a plan of corrective action are all provided. The column "NRS" indicates Numerous, Repeated and/or Serious non-compliances with Licensing Requirements.
Visit Date 8/20/2026 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(g)(1)References. The program obtains three references for personnel prior to employment. Copies are maintained in the employee's personnel record.One new personnel had references dated after hire date.References are to be obtained prior to hire. 08/20/2026No
340:110-3-154.3(e)(2)(C)(iii)the dosage, date and time administered, and signature of the individual administering the medication;Several residents did not have signatures of individual giving medication on the 14th, 15th, 16th and 17th med logs for the evening shift.Signatures of personnel administering medication will be on the medication log at the time medication is given. 08/20/2026No
340:110-3-157(n)Fire safety. The program complies with the state fire marshal's office regulations for construction and fire safety and is inspected annually by the state fire marshal's office or its designee.The fire inspection expired 8/14/2026Program contacted fire marshal for inspection. The program was told the inspector was on leave. The program will contact the fire marshal again to schedule inspection. 08/31/2026No

Visit Date 2/26/2026 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154.3(e)(2)(C)documented when administered, including:One resident did not have documentation of the administration of medication for 1 morning.Corrected during the visit. Med log was signed after it was verified that medication was given. 02/26/2026No
340:110-3-153.1(g)(1)References. The program obtains three references for personnel prior to employment. Copies are maintained in the employee's personnel record.6 personnel did not have documentation of 3 references being completed prior to hire.Documentation of references will be obtained prior to hire. 02/26/2026No
340:110-3-153.1(g)(3)Performance evaluation. A written performance evaluation is updated at least annually and maintained in the employee's personnel record.4 personnel did not have documentation of completed performance evaluations for 2025Performance evaluations will be completed annually. 03/06/2026No
340:110-3-153.1(l)Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.10 new personnel did not have documentation of orientation.Documentation of orientation will be completed for personnel. 03/06/2026No
340:110-3-153.1(m)Personnel professional development. Professional development the program schedules is obtained on or after personnel's employment date. Personnel meet professional development requirements in (1) through (7) of this subsection13 personnel did not meet professional development requirements.Personnel will meet professional development requirements. 02/26/2026No
340:110-3-153.1(o)(2)(A)an OKDHS-provided personnel information sheet, completed for each personnel upon employment and submitted to Licensing within two weeks of his or her employment;Licensing did not receive personnel information sheets for 2 new personnel within 2 weeks of employment.Licensing will receive personnel sheets within 2 weeks of employment. 02/26/2026No

Visit Date 10/23/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154.3(e)(2)(C)(iii)the dosage, date and time administered, and signature of the individual administering the medication;There was no signature of individual administering medication on two dates for one resident.This was corrected at the time of the visit. Signature of individual administering medication will be obtained at the time of the visit. 10/23/2025No
340:110-3-157(j)(7)Floors, walls, ceilings, doors, and windows are in good condition.The bathroom door in room H has been broken around the knob mechanism. Attempt has been made to repair previously but is broken again.Repair order will be submitted and door will be replaced. 10/31/2025No

Visit Date 7/24/2025 Visit Type Full Purpose of Visit Periodic
No non-compliances observed

Visit Date 3/25/2025 Visit Type Full Purpose of Visit Periodic
No non-compliances observed

Visit Date 11/22/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(g)(1)References. The program obtains three references for personnel prior to employment. Copies are maintained in the employee's personnel record.There was no documentation of references for 5 new personnelReferences for new personnel will be obtained prior to hire. 11/25/2024No
340:110-3-153.1(l)Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.There was documentation of 3 new personnel completing orientation prior to hire.Orientation will be completed after employment date. 11/22/2024No

Visit Date 7/11/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-157(h)Bathrooms. Bathrooms are maintained in a clean and sanitary condition with adequate ventilation.There was feces on the wall by the toilet paper in bathroom J.Wall will be cleaned 07/11/2024No
340:110-3-157(n)Fire safety. The program complies with the state fire marshal's office regulations for construction and fire safety and is inspected annually by the state fire marshal's office or its designee.The last fire inspection was 6/28/2023Fire marshal will be contacted to request a fire inspection. 07/11/2024No

Visit Date 3/14/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(m)(3)(E)When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source.2 personnel had expired CPR/ FA.Training is scheduled for 3/20/2024. Personnel will maintain CPR/FA training. 03/20/2024No

Visit Date 10/19/2023 Visit Type Full Purpose of Visit Periodic
No non-compliances observed




Complaint Summary since 10/6/2023
No data on file