Brookwood Skilled Nursing: Care Order Failures - OK
A PICC line, inserted directly into a large vein near the heart, requires regular sterile dressing changes to prevent infection. At Brookwood, inspectors found the documentation simply stopped.
For Resident 2, the last recorded dressing change wasn't logged in the treatment administration record or nurse notes after the PICC line was inserted on September 15. A physician order for the weekly change was never put in place. The Director of Nursing told inspectors the dressing should have been changed on September 26. It wasn't, at least not on paper.
Resident 5's situation was more tangled. A sterile dressing change was documented on September 17. Then nothing. The resident had been transferred to the hospital at some point after that, and when they returned, nobody resumed the care order. When inspectors spoke with Resident 5 on September 29, the resident said staff had changed the dressing but couldn't say when. They also weren't sure if anyone had measured their arm since the line was inserted, a basic monitoring step the Director of Nursing confirmed should have been documented throughout.
The Director of Nursing told inspectors on September 30 that the dressing change order should have been resumed when Resident 5 returned to the facility, and that the next change should have happened by September 27. It hadn't.
There was no documentation of arm measurements. There was no documentation of daily site monitoring. For nearly two weeks after Resident 5's PICC line was placed, the treatment record showed one dressing change and then silence.
Resident 5 was still receiving IV antibiotics through that line when inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brookwood Skilled Nursing and Therapy from 2025-11-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Brookwood Skilled Nursing and Therapy in Oklahoma City, OK was cited for violations during a health inspection on November 21, 2025.
A PICC line, inserted directly into a large vein near the heart, requires regular sterile dressing changes to prevent infection.
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.