Based on record review, and interviews during survey, the facility failed to ensure that services provided or arranged by the facility met professional standards of quality. This was evident in one (1) of five (5) residents (Resident #1) sampled. Specifically, on [DATE], Registered Nurse #1 failed to administer Resident 1's significant medications and treatments that were ordered between the hours of 4:00PM and 9:00 PM including continuous oxygen as per Physician's orders. Registered Nurse #1 did not notify the physician and Registered Nurse Supervisor #1 when the medications were not administered. …
F658 citations in New York
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F658 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F658 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.
Based on record reviews and interviews during survey, the facility failed to ensure that each resident received treatment and care in accordance with professional standards of practice. This was evident for one out of four residents (Resident #1) sampled. Specifically, Resident #1 had a Physician's Order dated 03/10/2026 and 03/18/2026 for laboratory tests to be done for Prothrombin Time and International Normalized Ration (used to monitor patients taking blood-thinning medications) and several other tests. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.99% | 0.62× |
| 2024 | 1.09% | 0.66× |
| 2025 | 1.14% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York 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