Based on record review and interview, the facility failed to ensure the Oklahoma Health Care Authority was notified after a resident received a significant mental health diagnosis for 2 (#9 and #36) of 3 sampled residents reviewed for PASRR assessments.The DON identified 52 residents resided in the facility. Findings: The facility policy titled Member certification for long term care PASRR policy and procedure, revised date 09/01/17, read in part, A significant change in a resident's mental condition could trigger a Level ll Resident Review. If such a change should occur in a resident's condition, it is the responsibility of the NF to notify the LOCEU of the need to conduct a resident review. 1. …
F646 citations in Oklahoma
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has 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 F646 more often than its own record predicts
1.23 times the share F646 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F646 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 | 0.11% | 2.29× |
| 2024 | 0.05% | 1.05× |
| 2025 | 0.08% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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