Tulsa Center For Rehabilitation And Healthcare
Tulsa Center for Rehabilitation and Healthcare in TULSA, OK — inspection on November 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
lungs] and worse left sided atelectasis [a partial or complete collapse of the lung tissue] .Due to elevated troponin [lab test which indicates damage to the heart muscle or indicates heart failure] and BNP [brain natriuretic peptide is a hormone the heart releases when it is under stress, like heart failure] concern patient congestive heart failure exacerbation.A hospital Clinical Update, dated 10/22/25, showed Resident #1 was admitted to the hospital on [DATE] with a principal problem of congestive heart failure exacerbation and a weight of 291.45 pounds.
The clinical update showed the last hospital weight on 09/23/25 was 273.81 pounds.
This was a gain of 6% in one month.On 10/24/25 at 9:41 a.m., licensed practical nurse #1 stated the protocol for monitoring fluid overload was to weigh daily at the same time.
They stated they would expect to obtain daily weights on residents with CHF or if bilateral edema was noted.On 10/24/25 at 9:47 a.m., the DON stated the nurse management entered the hospital discharge orders.
They stated the best practice for monitoring fluid overload was intake and output monitoring and weights.
The DON stated they would typically obtain weights for residents who had a diagnosis of CHF, but not always, if it were well controlled.On 10/24/25 at 10:41 a.m., the DON stated they did not show a diagnosis of CHF for Resident #1 and did not have a justified reason to obtain daily weights or intake and output volumes.On 10/24/25 at 10:23 a.m., the APRN stated the best practice for monitoring fluid overload for a resident with CHF would depend on how controlled they were, but if they were not controlled then they would order daily weights then weekly weights, and trend shortness of breath or edema.
They stated they had noted Resident #1 had gained weight, but did not feel it was fluid overload.
The APRN stated Resident #1 was hypotensive (low blood pressure) and they did not have room to go up on their diuretic medications.
They stated the weights probably still should have been obtained.
They stated they were made aware of the swelling and draining and that was when they ordered antibiotics.
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