Based on interview and record review the facility failed to investigate an injury of unknown source (dislocated shoulder) experienced by R56. Failure to thoroughly investigate injuries of unknown source may result in failure to identify abuse or neglect and place residents at risk for abuse and neglect. Findings: Record review: review of the electronic health record (EHR) and the documents located in the chart at the nurse station. R56 readmitted from the hospital to the facility on [DATE] for physical therapy following a left [CONDITION(S)] with surgical repair. R56 suffered the [CONDITION(S)] in a ground level fall at home. R56 had stage 4 pressure ulcers with recent necrotizing soft tissue infection and required long term intravenous antibiotic therapy at the nursing home. …
F610 citations in Guam
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Guam cites F610 more often than its own record predicts
4.59 times the share F610 takes of citations nationally.
Of every deficiency written in Guam in 2023, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F610 findings written in Guam, 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.
What else Guam surveyors cite →
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