On 03/12/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents were discharged with proper notice. On 03/06/25 Resident #1 returned to the facility after an overnight stay with family. Resident #1 was informed they were no longer a resident of the facility and were not allowed to return to the facility. On 03/12/25 at 5:57 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation related to a resident who was not allowed to return to the facility after an overnight stay with family. On 3/12/25 at 6:05 p.m., the DON and the corporate regional administrator were notified of the IJ situation and were asked to provide a plan of removal. …
F622 citations in Oklahoma
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F622 more often than its own record predicts
2.07 times the share F622 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F622 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 interview, and record review the facility failed to ensure appropriate placement was found to meet the health and safety needs for one (#1) of three sampled residents reviewed for involuntary discharges. The administrator identified five residents who had received involuntary discharges in the past 12 months. Findings: A Policy and Procedure titled, Notice of Resident Transfer or Discharge .Effective: February 12,2020, read in part, .Standard of Practice: The facility will provide the resident and/or responsible party with a notice of impending transfer or discharge in accordance with the residency agreement and state/CMS guidelines . Res #1 was admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
Based on record review and interview, the facility failed to follow the regulatory requirements for transfer and discharge a resident for one (#1) of one sampled resident reviewed for discharge. The charge nurse reported the census was 49. Findings: Resident #1 had diagnoses which included dementia and psychotic disorder. A nurse's note, dated 01/01/25 at 8:30 p.m., documented LPN #1 notified RN #1 that Resident #1 was threatening to leave the facility and stating they could not force them to stay in the facility. The note also documented the on call physician was contacted and they requested a BIMS assessment (an assessment to determine cognitive statue) be completed. The note documented the assessment was completed and the resident was cognitively intact. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 1.12× |
| 2024 | 0.59% | 1.84× |
| 2025 | 0.24% | 2.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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