Citations in Oklahoma
Statistics, citations and compliance trends for long-term care facilities in Oklahoma.
Statistics for Oklahoma (Last 12 Months)
Financial Impact (Last 12 Months)
Latest citations in Oklahoma
A resident who required two-person assistance was transferred by one CNA and fell to the floor during the transfer. Another resident who required supervision and a fire-resistant smoking apron was observed smoking without the apron in place, and an LPN stated they did not normally supervise smoke breaks or know which residents needed an apron. The facility also left an electrical room door unlocked, with paint, power tools, insect spray, electrical cords, and enabler bars inside.
Unsanitary ice machine observed with a black slimy substance on the underside of the plastic rim inside the ice compartment. The dietary manager stated the substance appeared to be grime and should not have been in the ice machine, and noted the unit was due for weekly cleaning. The kitchen provided nourishment to 85 residents.
Failure to Provide Scheduled Bathing Assistance: Three residents who required help with ADLs did not receive bathing as scheduled. One resident had COPD, DM, and CHF and needed help with personal hygiene; another had a functional deficit and needed partial bathing assistance; all had bath schedules for 3 times weekly, but shower sheets showed missed or inconsistent baths. The DON stated showers should occur 3 times weekly and that refusals should be documented with a bed bath offered, while CNA and RN interviews indicated showers were sometimes missed and shower sheets were not always completed.
A facility failed to ensure residents were free from significant medication errors when one resident drank coffee containing another resident’s medications. The DON stated medications should always be observed during administration, but a CMA said they did not watch the resident take the meds and gave them in coffee without observing the resident drink it. The physician was notified and reviewed the medications involved.
Failure to Protect Resident from Physical Abuse: A resident reported that two CNAs were rough while moving them up in bed and bumped their head into the headboard, causing pain. Another resident heard the incident, and the DON and administrator later confirmed the abuse allegation and failure to report were substantiated after the facility investigation.
Failure to Report Alleged Physical Abuse: A resident alleged that two CNAs were rough while repositioning them in bed and that the resident’s head was bumped into the headboard, causing pain. One CNA confirmed the head bump occurred during care, and the administrator stated the abuse allegation and failure to report were substantiated because the staff did not report the incident immediately.
Unsafe Transfers, Smoking Supervision, and Unsecured Electrical Room
Penalty
Summary
The facility failed to ensure a resident did not fall during a transfer when the resident required extensive assistance of two staff members to transfer between surfaces. The resident’s care plan and quarterly assessment showed the resident needed two-person assistance and maximal assistance for chair-to-bed transfers, and the resident had a brief interview for mental status score of 15, indicating intact cognition for daily decision making. An incident report showed CNA #1 transferred the resident without another staff member present, and the resident was assisted to the floor during the transfer. The resident later stated that CNA #1 was transferring them from a chair to the bed without assistance and that they lost their balance once they were on the side of the bed. The facility also failed to ensure safety interventions were in place while a resident was smoking and failed to keep the electrical room door secured. A resident who required a fire-resistant smoking apron and supervision while smoking was observed smoking in the designated area without the apron, and staff initially did not have the apron in place. An LPN stated they did not normally supervise smoke breaks and did not know which residents required a smoking apron, while the DON stated the resident was required to wear the apron and be supervised based on the smoking assessment. In addition, an electrical room door on E hall was observed unlocked with paint, power tools, insect spray, electrical cords, and enabler bars inside; the DON stated the door should have been locked and the maintenance supervisor stated the room had been accessed shortly before it was found unlocked.
Unsanitary Ice Machine
Penalty
Summary
The facility failed to ensure the ice machine was maintained in a sanitary manner. During observation on 06/29/26 at 10:03 a.m., the ice machine was found to have a black slimy substance on the underside of the plastic rim inside the ice compartment. A review of the Monthly Deep Cleaning Schedule 2026 showed the ice machine had been cleaned in March 2026, April 2026, and May 2026. At 10:15 a.m. the dietary manager stated the black substance appeared to be grime, that it should not have been in the ice machine, and that the ice machine was due for a weekly cleaning. The administrator identified that 85 residents received nourishment from the kitchen.
Failure to Provide Scheduled Bathing Assistance
Penalty
Summary
Provide care and assistance with activities of daily living was not ensured for 3 sampled residents who required bathing assistance. Resident #3 had a care plan dated 05/18/26 identifying a functional deficit related to COPD, diabetes mellitus, and CHF, and requiring assistance with personal hygiene. An undated bath list showed the resident was to receive baths on Monday, Wednesday, and Friday, but shower sheets documented baths only on 06/03/26 and 06/17/26. Resident #4 also had an undated bath list showing baths scheduled for Monday, Wednesday, and Friday, but shower sheets documented baths only on 06/01/26, 06/10/26, and 06/19/26. Resident #6 had a care plan dated 06/16/26 identifying a functional deficit related to osteoarthritis and requiring partial assistance with bathing. An undated bath list showed baths scheduled for Monday, Wednesday, and Friday, but shower sheets documented baths only on 06/03/26, 06/10/26, 06/19/26, 06/22/26, 06/24/26, and 06/29/26. The DON stated residents should receive showers three times weekly, that some residents were scheduled for two days weekly if care planned and scheduled, and that if a shower was refused the nurse was expected to offer a bed bath and document the refusal. CNA #1 stated showers were sometimes missed or refused and that they usually did not turn in a shower sheet. RN #3 stated shower sheets were completed by CNAs and reviewed by the charge nurse, and that if a resident refused a shower the nurse would follow up, but they did not know why the shower sheets were not completed for the three residents and stated it appeared the showers had not been given.
Medication Administration Error
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors for 1 of 5 sampled residents reviewed for medication administration. A policy stated medications are to be administered at the time they are prepared and the resident is to be observed taking them. The record showed that one resident drank coffee containing medications that belonged to another resident, and the medication administration record showed that the other resident received Rexulti 2 mg, buspirone HCl 10 mg, and alprazolam 0.5 mg. The DON stated medications should always be observed during administration to ensure the resident takes all of the medication and to prevent another resident from taking them. CMA #2 stated they did not watch the resident take the medications and gave the medications in coffee without observing the resident drink it. The physician stated they were notified that one resident had taken medications belonging to another resident and ordered the evening medications held, vital signs monitored, and assessments completed.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to ensure a resident was free from physical abuse when two CNAs moved the resident up in bed and the resident’s head was bumped against the headboard. Resident #76 wrote that a night shift CNA and her helper slid the resident up in bed and rammed the resident’s head into the headboard, causing the resident to holler out in pain. Another resident stated they were in the room and heard the head being bumped against the headboard by the CNAs. The resident later told staff the care had been rough and that the neck continued to hurt after the incident. During the investigation, CNA #8 stated that while changing Resident #76 and pulling the resident up in bed, the resident’s head bumped the headboard and the CNA apologized and asked if the resident was okay. The DON stated the resident reported the head was bumped into the headboard while care was being provided by CNA #8 and CNA #4, and the administrator stated the abuse allegations and failure to report abuse for both CNAs were substantiated after the facility investigation. The record also showed CNA #4 and CNA #8 were terminated for failure to report an allegation of abuse.
Failure to Report Alleged Physical Abuse
Penalty
Summary
The facility failed to ensure an allegation of physical abuse was reported for one resident. A written statement from the resident said that a night shift CNA and the CNA’s helper slid the resident up in bed and rammed the resident’s head into the headboard, causing the resident to holler out in pain. The resident later stated that the staff had hurt them by being rough. An email statement from one CNA said that the resident’s head bumped the headboard while the resident was being pulled up in bed after a change, and that the CNA apologized and asked several times if the resident was okay. Employee counseling records showed two CNAs were terminated for failure to report an allegation of abuse. The administrator stated the abuse allegation and failure to report were substantiated after the facility investigation, and stated the staff should have reported the incident immediately when the resident said they were hurt.
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Compliance trends in Oklahoma
Data through Jun 2026Comparisons below measure the most recent period Jul 2025 – Jun 2026 against the prior period Jul 2024 – Jun 2025 (two equal 12-month windows). The most recent 1 months are excluded because CMS is still publishing them.
Top tags by month · last 24 months
dashed = still reportingMonthly citation counts for the 5 most-cited tags. The dashed tail is the 1-month reporting lag.
Frequency movers
Biggest change in how often each tag is cited, as a rate per 100 inspections (so it isn't skewed by survey volume): Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. Only tags with at least 20 citations in both periods are shown.
Severity movers
Tags whose average scope/severity shifted the most: Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. The number is the average severity on the A–L scale (A=0…L=11); the letter is the band it falls in. A rise means the same tag is being cited at a more serious level — note the average can move enough to rank here while staying within the same letter. Same 20-citation minimum applies.
Care domain movers
Citations grouped into CFR care domains — F-tags by their §483 regulatory section (CMS State Operations Manual, Appendix PP) — measured as a rate per 100 inspections: Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. Share is the domain's portion of citations this period; avg severity is the mean scope/severity letter and immediate jeopardy the percentage cited at J–L, both over the current period. Domains with at least 20 citations in both periods are shown; the sparkline tracks the last 12 months (left = oldest).
Immediate jeopardies · this period
Citations at the most serious scope/severity — J–L, immediate jeopardy, residents placed at risk of serious harm or death — over Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. "Surveys with an IJ" counts distinct health inspections that had at least one.
Survey activity · by month
faded/dashed = still reportingCitations each month split into complaint-driven (unscheduled, triggered by grievances) vs standard surveys — bars, left axis — with the number of inspections as a line on the right axis. Rising inspections signal more scrutiny; a rising complaint share means more off-cycle surveys. The most recent 1 months are still being reported.
Deficiency-free survey rate
Share of health surveys that found zero deficiencies — the odds of a clean survey. Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025; the most recent 1 months are still being reported (dashed).
Penalties · by month
faded = still reportingTotal civil money penalty dollars imposed on the state's facilities each month — how hard the state is enforcing. The most recent 1 months are still being reported, and penalties often lag citations by several months.
Emerging tags
Tags that weren't established last period but surged — an early warning, distinct from movers (which track already-common tags). Criteria: fewer than 20 citations in the prior period, but at least 10 this period and 2.5× their prior volume. The sparkline shows monthly counts over the last 12 months (left = oldest).
Trusted data from CMS and state health departments
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