of F675 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202552
Every F675 citation surveyors wrote nationally that year.
Facilities cited50
Distinct nursing homes with at least one F675 finding.
The harm level
How severely F675 is cited
9.6% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J21.1%
K42.1%
L10.5%
Actual harm
G73.7%
H31.6%
I10.5%
No harm, potential for more than minimal
D12767.6%
E4121.8%
F21.1%
No harm, potential for minimal
A—
B—
C—
Every recorded F675 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F675 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternOctober 1, 2025
Based on observations, interviews and record reviews, the facility did not provide 5 residents (R4, R7, R11, R12 and R15) of 11 residents reviewed with the necessary cares and services to promote quality of life and assist residents to maintain their highest practicable level of physical, mental, and psychosocial well-being.
*The facility did not provide R7 with the sense of safety within the Facility from R6. R7 indicated being in fear of R6, a resident who displayed escalating aggressive behaviors. R7 was assaulted by R6 and was assessed as experiencing Post-Traumatic Stress Syndrome (PTSD) as a result. R6 went on to assault R5 a few weeks later. …
Based on observation, interview, and record review, the facility failed to ensure the necessary equipment was readily available to provide care for two dependent Residents (#62 and #46) out of 18 residents reviewed for quality of life. This deficient practice resulted in emotional distress, feelings of frustration, social isolation, and physical discomfort.Findings include:Resident #62 (R62)Review of R62's Electronic Medical Record (EMR) revealed initial admission to the facility on 3/8/23 with diagnoses including hemiparesis (partial weakness, reduced strength, and/or impaired motor function on one side of the body) following cerebral infarction (stroke), multiple sclerosis (MS), muscle weakness, and need for assistance with personal care. …
E · No harm, potential for more than minimal, patternJuly 30, 2026
Based on review of clinical records, as well as resident interviews and staff interviews, it was determined that the facility failed to ensure that residents were provided appropriately fitting incontinence products for three of 11 residents reviewed (Residents 1, 4, 11).Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 1, dated July 9, 2026, indicated that the resident was cognitively intact, dependent on two staff for daily care needs including toileting, was frequently incontinent of urine, and weighed 414 pounds. The resident's care plan, dated July 28, 2026, revealed that the resident had an indwelling urinary catheter (tube inserted directly into the bladder for urine drainage). …
C · No harm, potential for minimal, widespreadNovember 19, 2021
Based on interview and record review, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with community standards for 8 of 8 confidential residents in the resident council interview.
Residents disliked the facility's practice of Meatless Mondays.
This deficient practice had the potential to affect residents by placing them at an increased risk of poor socialization and a poor quality of life.
Findings included:
Interview on 11/17/21 at 10:39 a.m. 8 of 8 residents in the confidential group interview agreed they wanted Meatless Monday gone. They all aggreed if surveyor could 'fight' to fix only one thing in the building, Meatless Monday was the one thing they wanted fixxed. …
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