24th Place: Resident on Oxygen Without Doctor's Order - OK
The finding came out of a complaint inspection at 24th Place, a nursing facility in Norman. It did not take long for the problem to surface. Within four minutes of inspectors beginning their inquiry on the morning of the inspection, a licensed practical nurse identified as LPN #2 had already confirmed two things: the resident, identified in the report as Resident #31, was on oxygen, and there was no doctor's order for it.
The nurse made both statements before 9:30 a.m.
Oxygen is a medical intervention. Administering it without a physician's order means no doctor assessed whether the resident needed it, at what flow rate, under what conditions, or for how long. A resident receiving too much supplemental oxygen faces real physiological risk, particularly patients with certain chronic lung conditions where elevated oxygen levels can suppress the drive to breathe. Too little, and the underlying reason someone needs oxygen in the first place goes unaddressed.
None of that clinical calculus had been applied here. The order simply did not exist.
That afternoon, a corporate nurse consultant brought in by the facility confirmed what inspectors had already documented. Residents needed a physician's order for oxygen use. That statement, made at 3:07 p.m., did not resolve the violation. It ratified it.
The inspection covered only a few residents, according to the report's notation on scope. But immediate jeopardy is the most serious classification available under federal inspection rules. It means inspectors determined the deficiency had caused, or was likely to cause, serious injury, harm, impairment, or death.
Resident #31 was on oxygen that nobody had ordered. How long that had been the case, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for 24th Place from 2025-10-02 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 10, 2026 · Our methodology
24th Place in Norman, OK was cited for violations during a health inspection on October 2, 2025.
The finding came out of a complaint inspection at 24th Place, a nursing facility in Norman.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.