Based on record review and interview, the facility failed to ensure a discharge summary was completed 1 (#41) of 2 sampled residents reviewed for discharge. The administrator identified 35 residents resided in the facility. The clinical record for Resident #41 showed the resident admitted on [DATE] and discharged on 06/03/26. The record showed diagnoses which included Alzheimer's disease and vascular dementia with severe agitation. A progress note for Resident #41, dated 06/03/26, showed the resident discharged to home by an outside transport. The note showed all of the resident's items were placed back in their suitcase. The note showed a medication list and remaining medications were sent with the resident. The note showed a resident skin assessment was completed and the skin was intact. …
F628 citations in Oklahoma
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F628 more often than its own record predicts
1.29 times the share F628 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F628 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 facility policy review, record review, and interview, the facility failed to ensure the state Ombudsman was notified of transfers and discharges, which affected 2 (Resident #6 and Resident #43) of 2 residents reviewed for hospitalizations and 1 (Resident #41) of 2 residents reviewed for change of condition.Findings included: A facility policy titled, Transfer and Discharge (including AMA [against medical advice]), dated 03/27/2026, indicated, It is the policy of this facility to permit each resident to remain in the facility, and not transfer or discharge the resident from the facility, except in limited circumstances. This policy applies to all residents regardless of their payment source. The policy revealed, 10. Emergency Transfers to Acute Care, which included h. …
What else Oklahoma surveyors cite →
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