Based on record review and interview, the facility failed to ensure a resident at risk for pressure ulcers was assessed and monitored to prevent pressure ulcers for 1 (#3) of 2 sampled residents reviewed for pressure ulcers.Resident #3 was admitted to the facility on [DATE] with a skin condition described as MASD with early pressure areas to the upper buttocks. On 07/13/26, Resident #3 was assessed and the wound located in the sacral area had declined to a stage 2 pressure ulcer. A note from the DON showed the wound should have been staged as a stage 3 pressure ulcer at that time. Weekly skin checks for Resident #3 showed an increase in the dimensions and an overall decline of the wound status. …
F686 citations in Oklahoma
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F686 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F686 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 provide necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent the worsening of a pressure injury for 1 (#3) of 4 sampled residents reviewed for pressure ulcers. These failures resulted in progression of the wound to an unstageable pressure injury with necrotic tissue, periwound infection, undermining, and transfer to the emergency department for evaluation and treatment.The DON identified 12 residents received wound care services. Findings:A skin assessment for Resident #3, dated 03/10/26, did not show a wound to Resident #3's right elbow. …
Based on interview, record review, and facility policy review, the facility failed to implement wound treatment when a resident was assessed to have shearing on their coccyx for 1 (Resident #76) of 2 sampled residents reviewed for pressure ulcer/injury.Findings included: A facility policy titled, Pressure Ulcers/Skin Breakdown - Clinical Protocol revised 03/2014, revealed, 3. The staff will examine the skin of a new admission for ulcerations or alterations in skin. 4. The physician will assist the staff to determine etiology and characteristics of the skin alteration. The policy specified, 1. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 1.47% | 0.71× |
| 2024 | 1.43% | 0.68× |
| 2025 | 0.96% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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