Based on record review and interview, the facility failed to ensure an effective QA/QAPI program to correct identified quality deficiencies. 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. …
F867 citations in Oklahoma
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F867 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F867 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 track and monitor choking incidents for 1 (#8) of 3 sampled residents reviewed for choking incidents for quality assurance.The corporate nurse identified 39 residents resided in the facility.Findings:A policy titled Safety and Supervision of Residents, revised December 2007, read in part, QA & A reviews of safety and incident/accident reports; and a facility-wide commitment to safety at all levels of the organization.A nursing note for Resident #8, dated 01/18/24, read in part, called to residents room D/T [due to] resident choaking [sic], . At 5:50 p.m. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.29× |
| 2024 | 0.05% | 0.11× |
| 2025 | 0.08% | 0.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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