On 01/25/21 at 5:05 p.m., an Immediate Jeopardy (IJ) situation was determined to exist due to the facility's failure to develop and implement an antibiotic use protocol which included reporting results of laboratory data to the ordering practitioner for resident #10. Resident #10 was hospitalized and subsequently passed away. On 01/25/21 the IJ situation was verified with the Oklahoma State Department of Health. On 01/25/21 at 5:05 p.m., the administrator and the assistant director of nurses were notified of the IJ situation related to failures in communicating pertinent lab results to the ordering physician. On 01/26/21 at 11:30 a.m., the plan of removal for the Immediate Jeopardy pertaining to notification of the physician was accepted. …
F881 citations in Oklahoma
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oklahoma cites F881 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oklahoma surveyors wrote
F881 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 implement an antibiotic stewardship program.The DON identified 41 residents resided in the facility.Findings:An undated facility Antibiotic Stewardship policy, read in part, Develop and implement protocols to optimize the treatment of infections by ensuring that residents who require an antibiotic, are prescribed the appropriate antibiotic .Develop, promote and implement a facility-wide system to monitor the use of antibiotics .Facility leadership commitment to safe and appropriate antibiotic use; Appropriate facility staff accountable for promoting and overseeing antibiotic stewardship .Implement policy(ies) or practice to improve antibiotic use; Track measures of antibiotic use and resistance to relevant staff such as… …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.73% | 1.58× |
| 2024 | 0.44% | 0.99× |
| 2025 | 0.40% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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