Based on interview, observation and record review the facility failed to provide the necessary care and services for 1 of 11 (Resident #8) residents reviewed for transfer status. The facility failed to ensure that Resident #8, who was a 2 person assist in May 2025 and was changed to a mechanical transfer on 8/14/2025, did not suffer a decline in mobility. An Immediate Jeopardy (IJ) was identified on 8/15/2025. The IJ template was provided to the facility on 8/15/2025 at 4:45PM. While the IJ was removed on 8/16/2025, the facility remained out of compliance at a scope of pattern and a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. …
F676 · Activities of daily living
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F676 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F676 finding.
The harm level
How severely F676 is cited
0.8% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J10.1% | K— | L— |
| Actual harm | G100.6% | H20.1% | I— |
| No harm, potential for more than minimal | D1,37887.8% | E17511.1% | F30.2% |
| No harm, potential for minimal | A— | B10.1% | C— |
In the surveyor’s words
What an F676 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.
Based on observations, interviews, and record review, the facility failed to provide restorative nursing therapy to ensure that a resident's abilities in activities of daily living did not diminish for two (Residents #193 and #56) of two residents reviewed for the dining restorative program, from a total of 11 residents participating in the dining restorative program, in a total survey sample of 56 residents. The 11 residents on the dining restorative program were at risk of further decline. Resident #193 suffered a significant weight loss. The findings include: 1. During the dining observation on 01/06/25 at 11:50 AM, Resident #193 was observed seated at the dining table in the Caring Way unit. She was served a mechanical soft meal on a regular plate. …
Based on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to complete a restorative nursing program for one of four residents reviewed for ADLs (activities of daily living) concerns (Residents R7).Findings include: Review of the facility policy Rehabilitative/Restorative Programs: dated 2/1/26, indicated residents will receive rehabilitative services designed to improve or restore functioning. During an interview on 9/1/26 at 2:50 p.m., Registered Nurse (RN) Unit Manager Employee E1 revealed that restorative activities are documented on the daily Point of Care electronic record. …
Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure two of three sampled residents (Residents 1 and 2) were provided the necessary care and services to maintain their ADL capabilities. * The facility failed to ensure Residents 1 and 2's dentures were cleaned and stored properly according to the facility's P&P. These failures had the potential to negatively impact the residents' well-being. Findings: Review of the facility's P&P titled Accommodation of Needs reviewed on 12/19/22, showed the facility will evaluate and make reasonable accommodations for the individual needs and preferences of a resident. …
By state — 2025
Where F676 is cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
- California1.68× · 79 citations
- Ohio1.36× · 26 citations
Co-occurrence
Cited alongside F676
Of the 2025 surveys that cited F676, these tags appeared in the same inspection more often than chance would predict.
- F6999.3% of F676 surveys · 6.8× chance
Provide care or services that was trauma informed and/or culturally competent.
- F68817.1% of F676 surveys · 5.2× chance
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- F75615.5% of F676 surveys · 4.7× chance
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F6799.6% of F676 surveys · 4.6× chance
Provide activities to meet all resident's needs.
- F55210.2% of F676 surveys · 4.6× chance
Ensure that residents are fully informed and understand their health status, care and treatments.
Cited in the same inspection, not caused by one another.
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