Based on interview and record review, the facility failed to ensure that the resident's care plan was reviewed after the comprehensive assessment was completed for 1 of 1 residents reviewed for care planning in a final sample of 8 residents. (Resident identifier is #5). Findings include: Interview on 5/12/2026 at 12:36 p.m. with Resident #5's family member revealed that they had not attended a care plan meeting for Resident #5 and did not know when Resident #5 would be returning home with the family member. Review on 5/12/26 of Resident #5's provider progress note dated 4/20/26 revealed, . I do not feel [pronoun omitted] has the capacity for medical decision making at this time . will activate [pronoun omitted] DPOA [Durable Power of Attorney] according to his advanced directives . …
F657 citations in New Hampshire
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Hampshire cites F657 more often than its own record predicts
1.35 times the share F657 takes of citations nationally.
Of every deficiency written in New Hampshire in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Hampshire surveyors wrote
F657 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, it was determined that the facility failed to revise a care plan for 2 resident in a final sample of 8 residents (Resident identifiers are #5 and #13). Findings include: Resident #13 Observation on 6/24/25 at approximately 8:30 a.m. of Resident #13 revealed that Resident #13 was up in his/her wheelchair and that there was a wrist splint on his/her dresser. Resident #13 was not wearing the wrist splint. Review on 6/25/25 of Resident #13's physician's orders revealed an order dated 4/18/25, Left wrist brace on in AM [morning] off in PM [evening]. Further review revealed that application of the splint was not addressed in the Resident #13's care plan. Interview on 6/25/25 at approximately 10:15 a.m. …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 1.64% | 0.77× |
| 2024 | 1.20% | 0.63× |
| 2025 | 2.52% | 1.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
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