Based on observation, interview, record review and document review, the facility failed to ensure residents received necessary Activities of Daily Living (ADL) services to maintain the highest practicable physical, mental, and psychosocial well being for 1 of 36 sampled residents (Resident 35). The deficient practice placed the resident at risk not receiving needed services to support daily functioning. Findings include:Resident 35 (R35) was admitted on [DATE] with diagnoses including surgical aftercare following surgery on the circulatory system, presence of cardiac pacemaker, acute chronic diastolic (congestive) heart failure, and cellulitis of left lower limb.On 07/07/2026 at 9:35 AM, R35's feet were noted to be dry, with visible flaking and shedding of the skin. …
F676 citations in Nevada
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.
Against expectation — 2025
Nevada cites F676 more often than its own record predicts
1.10 times the share F676 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F676 findings written in Nevada, 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 observation, interviews, and record review, the facility failed to ensure showers were provided for 2 of 10 sampled residents (Resident #6, Resident #4). Findings include: Resident #6 (R6) R6 was admitted on [DATE], readmitted on [DATE] and discharged on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 03/31/2022 in the morning, the shower schedule for R6 was on the bulletin board in the room. The resident's shower schedule indicated the showers were to be given on Tuesday and Fridays. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 1.05× |
| 2024 | 0.26% | 0.70× |
| 2025 | 0.33% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada 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