New Hope Retirement & Care Center: BIPAP Order Ignored - OK
The physician had ordered the device back in July. The order was clear. BIPAP oxygen at 3 liters per minute, to be used at bedtime and during naps. The resident in Room 42 was taking naps each time inspectors arrived. The machine was never on.
The first observation came on December 29, 2025, at 2:53 in the afternoon. Resident 42 was resting in bed and told inspectors they were taking a nap. The BIPAP machine sat unused. The mask was on the bedside table. Inspectors came back the following afternoon, December 30, at 2:04 p.m. The resident's eyes were closed. The machine was off. The mask was on the table. On December 31, at 8:52 in the morning, inspectors found the same scene a third time.
A BIPAP, or bilevel positive airway pressure machine, delivers pressurized air through a mask to help a person breathe. Physicians order them when a patient's lungs need assistance, particularly during sleep or rest when breathing can become shallow or interrupted. Going without one when it has been prescribed is not a minor inconvenience.
Nobody had turned it on.
When inspectors spoke with a registered nurse at the facility on December 31, the nurse confirmed what the order already said. The resident should have had the BIPAP on during naps. That was the extent of the explanation on record. The nurse offered no account of why it hadn't happened on December 29. Or December 30. Or that same morning.
The facility's own administrator had pointed inspectors toward Resident 42 in the first place, identifying this person as the one resident who used a BIPAP machine. That detail matters. This was not a resident who slipped through a crowded roster of complex cases. There was one BIPAP user. Staff knew who that person was. The physician's order had been in place for more than five months.
The inspection, conducted as a complaint survey, cited the violation at a level of minimal harm, meaning inspectors determined no serious injury had been documented as a result. That classification reflects the regulatory finding as written. It does not resolve what happened to Resident 42's breathing across three afternoons of unassisted sleep, or on any of the days before inspectors arrived.
Complaint inspections are typically triggered by a report from a resident, family member, or staff. The underlying complaint that sent inspectors to New Hope Retirement & Care Center on December 29 is not detailed in the inspection record. What the record shows is that once inspectors began looking, they found the same lapse every time they checked.
The physician who wrote the July order is not named in the report. No family member is quoted. No explanation from nursing leadership appears beyond the registered nurse's brief acknowledgment that yes, the machine should have been on.
New Hope Retirement & Care Center is located in McAlester, in southeastern Oklahoma. The inspection covered a single sampled resident for respiratory care. That resident's BIPAP mask was on the bedside table each time an inspector walked in, and the machine beside the bed was silent.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for New Hope Retirement & Care Center from 2025-12-31 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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
NEW HOPE RETIREMENT & CARE CENTER in MCALESTER, OK was cited for violations during a health inspection on December 31, 2025.
The physician had ordered the device back in July.
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.