Based on observation, record review, and interview, the facility failed to ensure medication error rates were not 5% or greater for 3 (#17, 22, and #23) of 3 sampled residents reviewed for medication administration. The regional director of operations identified 52 residents resided in the facility. Findings: On 08/06/26 from 10:44 a.m. to 11:34 a.m., a morning medication pass was observed with CMA #1. There were 34 opportunities for medication administration observed, of which 19 were either given over an hour late or not given at all. The following medication pass errors were observed for Resident #22 on 08/06/26:a. Omeprazole (proton pump inhibitor) 20 mg tablet given at 10:44 a.m., with an order time of 7:00 a.m.,b. …
F759 citations in Oklahoma
Medication error rate · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F759 less often than its own record predicts
0.37 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F759 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.
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 1.47% | 1.20× |
| 2024 | 0.84% | 0.78× |
| 2025 | 0.40% | 0.37× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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