of F583 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025664
Every F583 citation surveyors wrote nationally that year.
Facilities cited644
Distinct nursing homes with at least one F583 finding.
The harm level
How severely F583 is cited
0.3% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J30.1%
K—
L—
Actual harm
G60.2%
H—
I—
No harm, potential for more than minimal
D2,11478.4%
E47117.5%
F521.9%
No harm, potential for minimal
A—
B451.7%
C60.2%
Every recorded F583 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F583 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedDecember 11, 2024
Based on observation, record review, and responsible party, Lieutenant of Criminal Investigations and staff interviews the facility failed to protect a resident's privacy for 1 of 3 residents (Resident #2). Nurse aide (NA) # 1 and NA # 2 provided personal care to Resident # 2 while live streaming on a cell phone. The staff allowed a prison inmate who was watching the live stream to view the resident while the resident was naked from the waist up and while care was provided; the staff allowed this live streaming while other inmates were observed in the open area behind him. As Resident #2 was severely cognitively impaired, the reasonable person concept was applied. …
Based on observation, record review, resident and staff interviews, the facility failed to maintain personal privacy and dignity for 3 of 5 residents reviewed for resident rights. The facility failed to ensure privacy when a Resident #17 was left naked with his genitals exposed and visible to the public. Resident #17 stated he felt angry, embarrassed, and as though he was on display as a result of the incident. The facility also failed to treat Resident #57 in a dignified manner when staff did not provide privacy during activities of daily living, exposing Resident #57's buttocks and private areas during bathing and wound care. …
D · No harm, potential for more than minimal, isolatedSeptember 17, 2026
Based on observation, interview and record review, the facility failed to ensure residents have a right to personal privacy for 1 of 30 residents (Resident #8) reviewed for respect and dignity. The facility failed to ensure CNA C closed the privacy curtain all the way around Resident #8 while providing incontinence care. This failure could place residents at risk of emotional distress, embarrassment, and lower self-esteem.Findings include: Record review of Resident #8's undated face sheet revealed a [AGE] year-old male admitted to the facility on [DATE] and readmitted on [DATE] with the following diagnoses: type 2 diabetes mellitus (blood sugar problems), obstructive and reflux uropathy (conditions where a blockage or a backward flow of urine puts harmful pressure on the kidneys), and… …
B · No harm, potential for minimal, patternMay 8, 2026
Based on observation, interview, and facility document review, the facility failed to protect the residents' identifiable information. * The facility's Survey Inspection Results binder for public viewing included two Confidential Resident Rosters (a list which identified the names of the residents by their identifiers given for surveys to protect the residents' identities). This failure resulted in confidential residents' information being accessible to the public.Findings: On 5/7/26 at 1100 hours, the Survey Inspection Results binder was observed in a wall pocket in the hallway between the front lobby and Nurse's Station A, accessible for public review. …
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Cited in the same inspection, not caused by one another.
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