Marlow Nursing & Rehab: Care Quality Deficiencies - OK
The drug involved was midodrine, which is used to raise blood pressure. Physician orders specified conditions under which the medication should not be given. Inspectors documented a string of administrations across September 2025, each tied to a blood pressure reading recorded at the time of the dose.
The entries ran from September 1 through September 22. On September 22, a resident's diastolic reading was 49. Midodrine was given anyway. The same pattern repeated across morning and evening medication passes, on different dates, with different residents. Each time, the blood pressure was logged. Each time, the medication went out.
When inspectors raised the issue on September 24, they asked the Director of Nursing what policy guided staff on when to hold medications after being educated on errors. The director said they would find out and report back.
No policy was ever presented.
The Director of Nursing confirmed to inspectors that the medication should have been held per the physician's orders.
CMS rated the harm level as minimal or potential for actual harm, with some residents affected. The inspection was filed as a complaint, meaning someone had already raised concerns before investigators arrived.
What the record shows is simpler than any policy question: staff had the blood pressure numbers in front of them, the physician had given instructions, and the medication went out anyway. Twenty times across three weeks, nobody stopped it.
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 involved was midodrine, which is used 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.