F657 in Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F657 less often than its own record predicts
Versus expected share0.46×
0.46 times the national share — cited less often here than elsewhere.
Share of Rhode Island citations0.87%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F657.
Rhode Island0.87%
National1.87%
Share of all citations that were F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F657 findings written in Rhode Island, 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.
E · No harm, potential for more than minimal, patternJuly 16, 2026
Based on record review and staff interview, the facility failed to ensure that the comprehensive care plan was revised by the interdisciplinary team after changes of condition for 5 of 6 residents reviewed, Resident ID #s 1, 3, 4, 5, and 6.Findings are as follows:Record review of a Facility policy titled, Care Plan Revisions Upon Status Change revealed in part, The comprehensive care plan will be reviewed, and revised as necessary, when a resident experiences a status change.The MDS coordinator and the Interdisciplinary Team will discuss the resident condition and collaborate on intervention options.The care plan will be updated with the new or modified interventions.1. …
B · No harm, potential for minimal, patternDecember 5, 2019
Based on record review and staff interview it has been determined that the facility failed to ensure that the comprehensive care plan is reviewed and revised for 1 of 1 resident reviewed who had an indwelling catheter (ID #25).
Findings are as follows:
Record review for Resident ID #25 revealed s/he was initially admitted to the facility in (MONTH) of 2019.
Review of a care plan dated 3/26/2019 and revised on 7/20/2019 revealed that the resident had an indwelling catheter related to retention.
Further record review reveals the indwelling catheter was removed on 3/26/2019.
The record lacks evidence that the care plan was reviewed and revised after the indwelling catheter was removed. …
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