Problem and Purpose: National average of daily oral care for non-ventilated hospitalized adults is about 30%. Oral care less than four times per day places patients at higher risk for non- ventilated hospital-acquired pneumonia (NVHAP), which can lead to increased morbidity and mortality. Chart audits conducted at a large urban medical center found approximately 15% of non-ventilated patients in the Cardiac Surgical Intensive Care Unit (CSICU) received daily oral care. The purpose of this quality improvement (QI) project was to implement and evaluate the SAGE Oral Cavity Health Assessment Tool (SAGE OCHAT) on oral care compliance among non-ventilated hospitalized adults in the CSICU. Methods: The QI Project Lead (QI-PL) mobilized an interdisciplinary team of stakeholders in the CSICU to implement structure and workflow changes: non-ventilated oral care kits present on all admissions, SAGE OCHAT screening once per shift, and increased oral care. A PowerPoint on SAGE OCHAT was presented to CSICU staff. QI-PL was present in the CSICU weekly to review SAGE OCHAT, address barriers, and update stakeholders. Results: SAGE OCHAT compliance averaged 19% (n = 71) and ranged from 0 to 50% per week. Oral care compliance averaged 2.7 times per day (n=146) and ranged from 2.2 to 3.8. There was a total of 7 cases of NVHAP throughout project implementation. All weekly data is collected, organized, and presented in run charts. Conclusion: Findings suggest that use of SAGE OCHAT correlates with oral care compliance. Though SAGE OCHAT, oral care frequency, and NVHAP were below project goal, oral care frequency improved compared to baseline and NVHAP decreased 85%.