Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F837 in Oklahoma. Pick another state for the same tag.
Against expectation — 2025
Oklahoma cites F837 more often than its own record predicts
Versus expected share1.48×
1.48 times the share F837 takes of citations nationally.
Share of Oklahoma citations0.08%
Of every deficiency written in Oklahoma in 2025, this is the portion that was F837.
Oklahoma0.08%
National0.05%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F837 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.
H · Actual harm, patternOctober 4, 2022
Based on record review and interview, the facility failed to ensure an effective governing body which was involved and engaged during a time of instability of staff in administrative roles.
The Resident Census and Conditions of Residents form identified 100 residents resided in the facility.
Findings:
A Quality Assurance and Performance Improvement Program policy, dated August 2019, read in parts, .Quality Assurance and Performance Improvement is a continuous process towards quality management .Quality Assurance and Performance Improvement [QAPI] builds upon traditional quality assurance methods by emphasizing the organization and systems. …
F · No harm, potential for more than minimal, widespreadJuly 8, 2026
Based on interview and document review the facility's governing body failed to appoint a licensed administrator to be accountable and manage the facility since 05/07/2026. The deficient practice had the potential to affect all residents residing in the facility.Findings included: A letter from the Oklahoma State Department of Health (OSDH) to another facility, dated 06/18/2026, revealed this facility's Previous Administrator became the administrator of record of another facility beginning 05/07/2026. During an interview on 07/04/2026 at 11:00 AM, the Chief Financial Officer stated the last day the facility had a licensed administrator was on 05/07/2026, and the facility did not currently have a licensed administrator. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction