Tulsa Center For Rehabilitation And Healthcare
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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 REDACTED] 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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Tulsa Center for Rehabilitation and Healthcare in TULSA, OK inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TULSA, OK, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Tulsa Center for Rehabilitation and Healthcare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.