Based on record review and interview, the facility failed to promptly assess, identify, and intervene when a resident experienced an acute new onset of profuse bleeding from an unknown source for 1 (#96) of 1 sampled resident reviewed for a change in condition when facility staff failed to notify the medical provider of a critical hemoglobin lab value of 6.3 with a normal reference range was 13.7 to 17.5, and identify the new onset of profuse bleeding from an unknown source on a resident with a recent repair of an abdominal aortic aneurysm resulting in an attempted transfer to the acute care hospital and subsequent death in the ambulance while in the facility parking lot.Specifically, the facility failed to: a. …
F684 citations in Oklahoma
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F684 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F684 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 record review and interview, the facility failed to ensure that a resident's behavior was monitored and documented according to the physician's order for 1 (#1) of 1 sampled resident reviewed for behavior monitoring.The administrator identified 86 residents resided in the facility.An undated Suicide Threats, policy, read in part, If the resident remains in the facility, staff will monitor the resident's mood and behavior and update care plans accordingly, until a physician has determined that a risk of suicide does not appear to be present. …
Based on record review and interview, the facility failed to ensure physician ordered laboratory work was collected and sent for processing for 1 (#1) of 4 sampled residents reviewed for nutrition.The DON identified 24 residents had orders for routine laboratory tests. Findings:A policy titled Lab and Diagnostic Test Results - Clinical Protocol, dated 2005, read in part, The physician will identify and order diagnostic and lab testing based on diagnostic and monitoring needs. The staff will process the test requisitions and arrange for the tests.A physician's order for Resident #1, dated 03/26/25, showed the resident was to have a HGB A1C (hemoglobin test to check a person's average blood sugar level over a 90 day period).An annual assessment for Resident #1, dated 10/05/25, showed the… …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 2.99% | 0.82× |
| 2024 | 2.80% | 0.70× |
| 2025 | 3.78% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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