F561 in Nevada. Pick another state for the same tag.
Against expectation — 2025
Nevada cites F561 more often than its own record predicts
Versus expected share1.71×
1.71 times the share F561 takes of citations nationally.
Share of Nevada citations0.65%
Of every deficiency written in Nevada in 2025, this is the portion that was F561.
Nevada0.65%
National0.38%
Share of all citations that were F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F561 findings written in Nevada, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedDecember 19, 2022
Based on clinical record review, interview, and document review, the facility failed to ensure a resident did not have a Do Not Resuscitate (DNR) physician order without evidence the resident made the self-determination to be a DNR through an in-person assessment at the facility by the physician, the facility's physician determined the resident was cognitively able to make the self-determination for code status, and a resident signed a Physician Order for Life Sustaining Treatment (POLST) as evidence of their code status self-determination prior to the facility physician signing the POLST and determining a resident would be a DNR (Resident #4). …
D · No harm, potential for more than minimal, isolatedJune 25, 2026
Based on observation, interview, clinical record review, and document review, the facility failed to ensure a resident was afforded the choice of wearing an identification wrist band for 1 of 31 sampled residents (Resident #23). This deficient practice had the potential to impede a resident's self-determination and right to make choices about aspects of the resident's daily life.Findings include: Resident #23 Resident #23 was admitted to the facility on [DATE], with diagnoses including chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, unspecified, pulmonary hypertension, unspecified, and dependence on supplemental oxygen. On 06/22/2026 at 9:03 AM, Resident #23 was sitting on the side of the resident's bed. …
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