F0740

D

Failure to Provide Required Behavioral Health Services for Depressed Resident

Oklahoma City, Oklahoma Survey Completed on 02-18-2026

Penalty

Fine: $50,116

Summary

The facility failed to provide necessary behavioral health care and services for a resident with identified depression. The resident’s admission assessment documented a diagnosis of depression, indicated that participation in activities was very important to them, and showed they were cognitively intact with a BIMS score of 14. A physician’s order dated 11/11/25 directed that the resident receive a psychiatric consultation for mental health needs if criteria were met, and another order dated 12/20/25 prescribed fluoxetine 20 mg daily for depression. Despite these orders and the resident’s diagnosis, review of physician progress notes showed no psychiatric consultations, and an activity note indicated the resident did not participate in any activities during December 2025.

Surveyor observations and staff interviews further demonstrated unmet behavioral health needs. On 02/11/26, the resident was observed tearful in their room and reported feeling depressed to the point of not wanting to get out of bed and potentially missing dialysis because of their depression. A CNA stated the resident was easily upset and isolated in their room, and an LPN reported the resident was not social, stayed in their room, and had refused dialysis several times. The DON stated that residents on antidepressants who exhibited behaviors such as refusing dialysis, isolating in their room, and refusing care met the criteria for psychiatric consultation, and acknowledged that this resident should have been seen for such a consultation, which had not occurred.