F689 in Oklahoma. Pick another state for the same tag.
Against expectation — 2025
Oklahoma cites F689 more often than its own record predicts
Versus expected share1.19×
1.19 times the share F689 takes of citations nationally.
Share of Oklahoma citations6.59%
Of every deficiency written in Oklahoma in 2025, this is the portion that was F689.
Oklahoma6.59%
National5.53%
Share of all citations that were F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F689 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.
J · Immediate jeopardy, isolatedJune 19, 2026
Based on observation, interview, record review, facility document review, and facility policy review, the facility failed to ensure the environment was free of accident hazards for 5 (Residents #6, #12, #19, #30, and #38) of 16 residents reviewed for smoking. Specifically, on 04/08/2025, Resident #12 reported receiving a cigarette burn while smoking, and the facility determined the resident had a full thickness burn (all layers of the skin were destroyed) to the left thigh. After the burn, the facility implemented a care plan intervention for a smoking apron; however, Resident #12 was noncompliant with the intervention. …
The following deficiency represents an incident of past non-compliance that was subsequently corrected prior to this survey. Based on interview, record review, and facility document and policy review, the facility failed to ensure staff provided the required assistance needed to safely transfer a resident according to their assessed needs, which affected 1 (Resident #41) of 4 residents reviewed for accidents. Specifically, on 02/11/2026, Certified Nursing Assistant (CNA) #1 attempted to transfer Resident #41 to the resident's bed on their own, which resulted in the resident being lowered to the ground. …
D · No harm, potential for more than minimal, isolatedAugust 19, 2026
Based on observation, record review, and interview, the facility failed to ensure staff followed the facility lift policy for 1 (#19) of 3 sampled residents reviewed for accident hazards. The DON identified 35 residents required the use of a lift with a transfer. Findings:On 08/13/26 at 12:33 p.m., CNA #1 was observed bringing the full body mechanical lift out of the room of Resident #19.An undated diagnoses list for Resident #19 showed the resident had diagnoses which included spondylosis of the cervical region, spinal stenosis of the lumbar region, and low back pain.A facility policy titled Full Body Mechanical Lift Guide, dated 02/2025, read in part, A full body mechanical lift provides a safe transfer for the resident who has partial to non-weight bearing capabilities. …
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