Okla. Stat. tit. 63, § 63-1-1914.9: Determinations - Impartial decision maker – State

survey agency.

A. 1. Upon the conclusion of all arguments by the parties at

the informal dispute resolution, the impartial decision maker shall

issue a written statement of findings that shall be entitled

"Determinations".

2. The determinations shall include:

a. a recitation of the deficiency identification numbers,

b. a statement of whether a disputed deficiency should

remain, be removed, or be modified on the statement of

deficiencies, and

c. the facts and persuasive arguments that support the

finding of the impartial decision maker for each

deficiency identification number.

B. 1. The determination of the impartial decision maker shall

be provided to all parties.

2. The State Department of Health shall review the

determination and shall issue a written document entitled "State

Survey Agency Determination".

C. A state survey agency determination is not subject to

appeal, reargument, or reconsideration.

D. The Department shall deliver a copy of the state survey

agency determination to the facility and to the impartial decision

maker.

E. 1. In accordance with the state survey agency

determination, the Department shall issue an amended state of

deficiencies if the state survey agency determination results in

modification to any deficiencies cited in the original statement of

deficiencies.

2. If the Department determines that amendments to the

statement of deficiencies should result in changes to the scope or

severity assigned to any deficiency, the amended statement of

deficiencies shall reflect the changes to the scope or severity of

any cited deficiency.

F. The amended statement of deficiencies shall be provided to

the facility.