Based on observation, record review and interview the facility failed to provide care and services to maintain Resident #16's ability to perform activities of daily living (ADL). Actual Harm occurred to Resident #16 when the resident was noted to experience functional declines in her ability to transfer, toilet, dress and complete personal hygiene without timely and adequate facility identification or interventions to prevent the decline and/or to restore the resident to her previous functional levels. This affected one (Resident #16) of three residents reviewed for ADL care. Findings include: Medical record review revealed Resident #16 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F676 citations in Ohio
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
Ohio cites F676 more often than its own record predicts
1.36 times the share F676 takes of citations nationally.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F676 findings written in Ohio, 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, interview, record review, and facility policy review, the facility failed to provide adequate nail care for Resident #21. This affected one Resident (#21) of four residents reviewed for activities of daily living. The facility census was 30. Findings include: Review of the medical record for Resident #21 revealed an admission date 08/19/22 diagnoses including dementia, psychotic disturbance, mood disturbance, anxiety, hypertension, cerebral infarction, adult failure to thrive, and type 1 diabetes.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 had impaired cognition and required set up with personal hygiene.Review of the care plan dated 04/01/26 revealed the resident was at risk for decline in activities of daily living… …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.63× |
| 2024 | 0.27% | 0.76× |
| 2025 | 0.40% | 1.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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