Based on record review and interview, the facility failed to ensure a significant change assessment was completed for 1 (#8) of 1 sampled resident reviewed for hospice services.The DON identified eight residents received hospice services. Findings: A Physician's Certification for Hospice Benefit, dated 03/18/26, showed Resident #8 had been certified for hospice services for a terminal diagnosis of Alzheimer's disease. The form, read in part, It is my clinical judgement that this patient has a life expectancy of six months or less, if the terminal illness runs its normal course. The form had been signed by the physician. Review of the electronic clinical record did not show a significant change assessment had been completed when the resident elected the hospice benefit. …
F637 citations in Oklahoma
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F637 more often than its own record predicts
4.02 times the share F637 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F637 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.
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 1.35% | 4.41× |
| 2024 | 0.59% | 2.63× |
| 2025 | 0.96% | 4.02× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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