F635 in New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F635 more often than its own record predicts
Versus expected share2.65×
2.65 times the share F635 takes of citations nationally.
Share of New York citations0.15%
Of every deficiency written in New York in 2025, this is the portion that was F635.
New York0.15%
National0.06%
Share of all citations that were F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F635 findings written in New York, 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.
G · Actual harm, isolatedNovember 19, 2021
Based on observations, interviews and record review conducted during an abbreviated survey (NY 166) on 11/03/2021, the facility did not have physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Specifically, Resident #1 was admitted from the hospital to the facility on [DATE] with discharge orders for [MEDICATION(S)] ([CONDITION(S)] medication). The [MEDICATION(S)] was not ordered, and Resident #1 did not receive the medication. Resident #1 had a [CONDITION(S)] on 10/11/2021 and was transferred to the emergency room (ER). On 10/12/2021, Resident #1 was transferred back to the facility with discharged orders from the ER for [MEDICATION(S)] ([MEDICATION(S)]) Syrup 1125 mg every 12 hours. …
D · No harm, potential for more than minimal, isolatedSeptember 11, 2025
Based on observation, interview, and record review during a Complaint investigation (Complaint #NY00374344- 635063) the facility did not ensure physician orders for the resident's immediate care were in place on admission for one (1) (Resident #7) of three (3) residents reviewed for admission orders. Specifically, Resident #7 was re-admitted to the facility on [DATE] and their admission medication orders were not entered into the electronic medical record and implemented until 09/10/2025.The finding is:The policy and procedure titled Electronic Physician Orders (Create, Confirm, Processing Orders) dated 08/28/2024, documented Admission/readmission orders for the care of a resident are received from a Licensed Physician/Nurse Practitioner/Physician Assistant upon admission/readmission of a… …
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