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: 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
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.