On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to designate a registered nurse to serve as DON on a full-time basis and ensure a registered nurse served in the facility for at least eight consecutive hours a day, seven days a week to assess residents and provide oversight for facility staff. Res #152 admitted to the facility from the hospital on [DATE] for skilled nursing services. Res #152's medical records did not document an admission assessment, skilled services progress notes, ADL documentation, meal or fluid intake, completed Medication Administration Record, [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F727 citations in Oklahoma
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F727 more often than its own record predicts
2.25 times the share F727 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F727 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 have full-time DON coverage for the facility from 04/01/26 through 08/24/26. The administrator identified 47 residents resided in the facility.Findings: A letter from RN #1, dated 08/27/26, read in part, I provided RN consultant services for [NAME] Senior Care from 04/01/26 through 08/24/26 .During that time the ADON was acting in the role of LPN/DON with my RN oversight. On 08/27/2026 at 1:19 p.m., the administrator stated they were not able to find documentation the facility had DON coverage in the facility from 04/01/26 through 08/24/26. On 08/27/26 at 1:52 p.m., RN #1 stated they were not working in the facility for eight consecutive hours, most of their work was performed remotely.
Based on observation and interview, the facility failed to have a registered nurse serving in the position of director of nursing. The facility reported the position of director of nursing was vacant. The Census and Conditions of Residents form documented 43 residents resided in the facility. Findings: On 04/19/22 at 9:45 a.m., the Corporate Nurse Consult #1 reported there was currently no staff member acting as director of nursing (DON). The corporate nurse consult reported the last DON resigned on 03/07/22.
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 1.18% | 1.74× |
| 2024 | 1.23% | 2.29× |
| 2025 | 0.96% | 2.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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