On 09/09/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to provide necessary care and treatment for Resident #17 who had mental health disorders and threatened to harm themself and others.On 09/09/25 at 2:14 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation.On 09/09/25 at 2:27 p.m., the administrator was notified of the IJ situation and the IJ template was provided.On 09/09/25 at 5:19 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. The plan of removal, read in part,On 9/9/25, A review of all resident records was conducted to identify those with mental health disorders that may exhibit behaviors related to those disorders. …
F742 citations in Oklahoma
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F742 more often than its own record predicts
1.99 times the share F742 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F742 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 ensure a resident who had a mental health disorder and observed a traumatic event at the facility [NAME]. a care plan developed that thoroughly described the distress from a person-centered perspective; andb. appropriate interventions in place to address the trauma the resident experienced for 1 (#4) of 6 sampled residents reviewed for abuse. The BOM identified 78 residents resided in the facility.Findings: On 07/30/25 at 9:13 a.m., Resident #4 was observed seated on the bed in their room with family member #1 present in the room. A quarterly resident assessment, dated 06/29/25, showed Resident #4's cognition was severely impaired (BIMS 04). …
Based on record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for trauma informed care for 1 (#7) of 1 sampled resident reviewed with diagnosis of post-traumatic stress disorder. The DON identified 88 residents resided in the facility. Findings:Resident #7's December 2025 physician orders showed they were admitted on [DATE] with diagnoses of post-traumatic stress disorder, hallucinations, and depression. A care plan for Resident #7, updated on 12/06/25, did not address trauma informed care for post-traumatic stress disorder. On 12/10/25 at 8:35 a.m., CMA #1 was asked why Resident #7 had diagnosis of post-traumatic stress disorder. They were unable to state why. On 12/10/25 at 8:40 a.m. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.51× |
| 2025 | 0.24% | 1.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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