Marlow Nursing & Rehab: Care Plan Failures - OK
The drug was midodrine, which is prescribed to raise blood pressure. Physician orders called for the medication to be held when readings fell below a certain threshold. The inspection record lists instance after instance, from September 1 through September 22, where nurses or medication aides checked a resident's blood pressure, recorded a reading within the range that should have triggered a hold, and gave the drug anyway.
On September 22, a resident's diastolic reading was 49. Midodrine was given.
The violations stretched across three weeks and affected more than one resident.
When an inspector asked the Director of Nursing on September 24 what the facility's policy was for monitoring whether medication aides improved after being educated on medication errors, the DON said they would find out and report back. No policy or practice was ever presented.
The DON confirmed to the inspector that the medication should have been held, per the physician's orders.
CMS rated the harm level as minimal or potential for actual harm. Whether any resident experienced a physical consequence from receiving a drug designed to raise blood pressure when their pressure was already within a normal or borderline range is not documented in the inspection report.
What is documented is that it happened repeatedly, over weeks, and that when a regulator asked the person responsible for nursing oversight to explain how the facility prevents it from happening again, she didn't have an answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marlow Nursing & Rehab from 2025-11-24 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 19, 2026 · Our methodology
Marlow Nursing & Rehab in Marlow, OK was cited for violations during a health inspection on November 24, 2025.
The drug was midodrine, which is prescribed to raise blood pressure.
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.