Based on interview and record review, it was determined that the facility failed to have physician's orders at admission for a wound that resulted in hospitalization for 1 of 4 residents reviewed for wound care (Resident identifier is #3).Findings include:Review on 12/17/25 of Resident #3's medical record revealed he/she was admitted on [DATE].Review on 12/17/25 of Resident #3's Clinical Admission assessment, dated 11/5/25, revealed a puncture wound present on admission to the right groin.Review on 12/17/25 of Resident #3's Vascular Surgery Discharge summary dated [DATE], revealed discharge instructions for daily wound treatment to the right groin wound.Review on 12/17/25 of Resident #3's admission orders revealed no treatment orders for the right groin wound.Review on 12/17/25 of Resident… …
F635 citations in New Hampshire
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Hampshire cites F635 more often than its own record predicts
13.00 times the share F635 takes of citations nationally.
Of every deficiency written in New Hampshire in 2025, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Hampshire surveyors wrote
F635 findings written in New Hampshire, 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.
Based on interview and record review, the facility failed to ensure physician orders at admission were accurate for 1 of 4 residents reviewed for admission orders (Resident identifier is #4).Findings include:Review on 5/27/26 of Resident #4's progress note written by Staff A (Director of Nursing) dated 5/17/26 [name omitted] was discharged from [hospital omitted] on 5/9/26. [pronoun omitted] discharge summary was not reviewed with the physician on call.Medications had changed and [pronoun omitted] received the wrong dose of some [medications] and omission of others [medications] from 5/9/26 - 5/13/26.Review on 5/27/26 of Resident #4's Hospital Discharge summary dated [DATE] revealed a change in Carvedilol dose from 25mg to 12.5mg twice a day, a new order for Voltaren 1% gel topically to… …
Based on record review and interview it was determined that the facility failed to ensure that there were complete admission physician orders for 1 Resident in a final sample of 18 Residents. (Resident identifier is #47.) Findings include: Review on 2/20/19 at approximately 9:18 a.m. of Resident #47's medical record revealed that Resident #47 was admitted to the facility on [DATE] on hospice care for a [DIAGNOSES REDACTED]. Review of the physician's orders for admission to the facility on [DATE] revealed no physician order for [REDACTED].>Interview on 2/22/19 at approximately 1:52 p.m. with Staff A (Director of Nursing) confirmed that the facility did not obtain a physcian's order for hospice.
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 0.41% | 6.40× |
| 2025 | 0.72% | 13.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction