On 02/25/26, an IJ situation was determined to exist related to the facility's failure to ensure a system was in place to reconcile controlled narcotic medications to prevent misappropriation of Res #2 and Res #6 controlled narcotic medications.On 02/26/26 at 3:24 p.m., the Oklahoma State Department of Health verified the existence of an IJ situation.On 02/26/26 at 3:46 p.m., the administrator was notified of the IJ situation and the IJ template was provided.On 03/04/26 at 2:13 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal showed on 02/27/26 the administrator and DON were in-serviced by the corporate administrator regarding the facility's controlled-substance reconciliation system. …
F755 citations in Oklahoma
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F755 more often than its own record predicts
1.23 times the share F755 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F755 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 ensure medications were administered as ordered for 1 (#5) of 3 sampled residents reviewed for medications.The DON identified 65 residents resided in the facility.Findings:An admission record, dated 03/05/26, showed Res #5 had diagnoses which included epilepsy and heart failure.A physician's order, dated 03/05/26, showed Res #5 was to receive 750 mg of levetiracetam (an anticonvulsant medication) twice a day by mouth for epilepsy. The order was discontinued on 03/07/26.A nurse note, dated 03/07/26 at 2:04 p.m., showed Res #5 had seizure activity at 9:50 a.m., 11:55 a.m., and 12:21 p.m. The note showed hospice arrived at 2:00 p.m. …
Based on record review and interview, the facility failed to ensure medications were administered according to physician orders for 2 (#11 and #14) of 6 sampled residents reviewed for timely administration of medications.The administrator identified 114 residents resided in the facility.Findings:An undated medication administration showed medication pass times were 7:00 a.m. to 11:00 a.m., 2:00 p.m., 4:00 p.m., 7:00 p.m. to 11:00 p.m., 10:00 p.m., and 12:00 a.m.A policy titled Medication Administration, dated 01/2022, read in part, Medications are administered within 60 minutes of scheduled time, except before, with or after meal orders, which are administered based on mealtimes. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 4.96% | 2.35× |
| 2024 | 3.44% | 1.61× |
| 2025 | 2.89% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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