Based on record review and interview, the facility failed to ensure the physician and family were notified when a resident had a significant change of condition for 1 (#96) of 1 sampled resident reviewed for a change of condition which resulted in death. Resident #96 was on the toilet and bleeding. ACMA #2 stated they contacted LPN #1 about the residents' condition, and they had left the blood in the toilet for LPN #1 to observe. LPN #1 came to observe the resident; however, LPN #1 told them to continue to monitor the resident since they had refused to go to the ER. …
F580 citations in Oklahoma
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F580 more often than its own record predicts
1.79 times the share F580 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F580 findings written in Oklahoma, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, record review, and interview, the facility failed to immediately notify the physician of a pressure ulcer for 1 (#1) of 3 sampled residents reviewed for a physician notification of a resident change in condition. The administrator identified 48 residents resided in the facility. Findings: On 03/10/26 at 11:55 a.m., the ADON was observed to provide wound care for Resident #1. The resident had a pressure ulcer to the coccyx area. Resident #1 was observed to be lying on an air mattress. …
Based on record review and interview, the facility failed to notify the attending physician/medical director of a decline in a resident's condition for 1 (#3) of 2 sampled residents reviewed for pressure ulcers.The administrator identified 34 residents resided in the facility. The DON identified no other residents in the facility had pressure ulcers. Findings:A policy titled Change in a Resident's Condition or Status, dated 02/2014, read in part, Our facility shall promptly notify the resident, his or her Attending Physician, and representative (sponsor) of changes in the resident's medical/mental condition and/or status (e.g., changes in level of care, billing/payments, resident rights, etc.). d. A significant change in the resident's physical/emotional/mental condition;. 2. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 1.18% | 0.83× |
| 2024 | 2.26% | 1.49× |
| 2025 | 2.65% | 1.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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