On [DATE] an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to promptly notify the physician of Resident #2's laboratory results which fell outside of clinical reference ranges and showed a deterioration in their condition. Resident #2 was admitted to the facility on [DATE] with diagnoses which included urinary tract infection (ESBL) and pneumonia and was receiving antibiotic therapy. Resident #2's admission lab results, dated [DATE], documented WBC 11.3 (Ref range 3XXX,d+[DATE].04) and Neutrophil # 7.7 (Ref range 1XXX,d+[DATE].13). The report was signed by the physician. Resident #2's follow-up lab results, dated [DATE], documented WBC 26.2 (Ref range 3XXX,d+[DATE].04) and Neutrophil # 19.7 (Ref range 1XXX,d+[DATE].13). …
F773 citations in Oklahoma
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F773 more often than its own record predicts
2.45 times the share F773 takes of citations nationally.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F773.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F773 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 interview and record review, it was determined the facility failed to promptly notify the physician of a high critical PT/INR laboratory result {a blood test that measures how long it takes blood to clot and monitor the effects of [MEDICATION(S)]} for one (#1) of three sampled residents who were reviewed for laboratory monitoring. This resulted in actual harm and hospitalization of the resident. Findings: An undated Test Results policy, read in parts, .Should the test results be provided to the facility, the Attending Physician shall be promptly notified of the results .The Director of Nursing Services, or Charge Nurse receiving the test results, shall be responsible for notifying the Physician of such test results . …
Based on record review and interview, the facility failed to ensure laboratory tests were not performed without a physician's order for 1 (#2) of 5 sampled residents reviewed for unnecessary medications. The administrator identified 26 residents resided in the facility. Findings:Physician's orders for Resident #2, dated 02/16/26, showed to obtain a complete blood count, a comprehensive metabolic panel, and a lipid panel yearly in July. The clinical record for Resident #2 showed a laboratory report for a complete blood count, a comprehensive metabolic panel, and magnesium level were drawn on 02/04/26. On 07/31/26 at 9:50 a.m., the DON was asked if there were physicians orders to perform the laboratory draws. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.49× |
| 2024 | 0.15% | 1.34× |
| 2025 | 0.32% | 2.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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