On 08/12/25 an Immediate Jeopardy (IJ) situation was determined to exist related to pain management during wound care for 1 (#27) of 4 sampled residents reviewed for pain.On 08/13/25 at 1:00 p.m., the OSDH was notified and verified the existence of the IJ situation. On 08/13/25 at 1:39 p.m., the facility administrator and DON were notified of the IJ situation and provided a copy of the IJ template. On 08/13/25 at 5:20 p.m., an acceptable plan of removal was submitted to the OSDH. The plan of removal read in part, a pain assessment was completed on Resident #27 at 3:00 p.m., on 08/13/25. PCP [primary care physician] for Resident #27 was contacted and a new order for Tramadol, an analgesic, was obtained. …
F697 citations in Oklahoma
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F697 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F697 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 observation, record review and interview, the facility failed to ensurea. residents received pain medication in a timely manner for 1 (#122) of 2 sampled residents reviewed for pain management. The prolonged wait time despite verbalizing increased pain to multiple staff resulted in harm for Resident #122 as evidenced by not wanting to complete ADL's due to pain; and,b. residents were consistently evaluated for the effectiveness of regularly scheduled pain medication for 1 (#101) of 2 sampled residents reviewed for pain management assessment and monitoring.The regional nurse consultant identified 42 residents received pain medication.Findings:1.On 09/16/25 at 5:55 a.m., Resident #122 was observed telling CNA #3 somebody get me some pain pills, my back is killing me. …
Based on record review and interview, the facility failed to effectively manage pain for 1 (#3) of 1 sampled resident reviewed for pain management. The DON identified 55 residents resided in the facility.Findings: An admit form for Resident #3, dated 07/17/23, showed the resident had diagnoses which included cerebral palsy, migraines, and chronic pain. A physician's order for Resident #3, dated 10/12/24, showed Tylenol (an analgesic) oral tablet 325 mg, give two tablets orally every four hours as needed for pain. A care plan for Resident #3, dated 01/27/25 read in part, resident had chronic pain r/t [related to] cerebral palsy. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.38× |
| 2024 | 0.54% | 0.74× |
| 2025 | 0.40% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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