Deficiency Index

F677 · ADL care for dependent residents

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations in 20252,456

Every F677 citation surveyors wrote nationally that year.

Facilities cited2,218

Distinct nursing homes with at least one F677 finding.

The harm level

How severely F677 is cited

0.9% 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.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ30.0%K10.0%L—
Actual harmG790.7%H100.1%I—
No harm, potential for more than minimalD8,03875.1%E2,55323.8%F140.1%
No harm, potential for minimalA—B60.1%C10.0%
Every recorded F677 citation, by the harm level and scope the surveyor assigned.

In the surveyor’s words

What an F677 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.

J · Immediate jeopardy, isolatedFebruary 20, 2025

Based on interviews, record review, and the review of the facility policies titled Activities of Daily Living (ADL) and Assistance with Meals, the facility failed to provide supervision and assistance with Activities of Daily Living (ADL) care during meals for one of 45 residents (R) (R200) related to a diagnosis of dysphagia (difficulty swallowing). On [DATE], this failure resulted in R200's death by choking on a sandwich. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on [DATE], at 10:25 am. …

Roswell Center for Nursing and Healing LLC · Georgia

G · Actual harm, isolatedJuly 25, 2026

Based on Observation, Interview and Record Review, the facility failed to ensure a resident with known bowel incontinence was provided dignified incontinence care for one of four residents (R1) reviewed for incontinence care assistance in the sample of seven. This failure resulted in R1 experiencing mental anguish and feeling embarrassed and ashamed of the lack of control of R1 bowels and the need for daily assistance with hygiene. Findings include:The facility's Dignity policy, dated 8/2019, documents Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. Residents shall be treated with dignity and respect at all times. …

Macomb Post Acute Care Center · Illinois

D · No harm, potential for more than minimal, isolatedSeptember 17, 2026

Based on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1 resident (Resident #119) of 6 residents reviewed for ADLs. The facility failed to ensure Resident #119 had her fingernails trimmed and cleaned on both hands on 09/15/2026. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and skin breakdown, and a decreased quality of life.Record Review of Resident #119's Quarterly MDS assessment dated [DATE] reflected a [AGE] year-old female with initial admission date of 04/21/2025 to the facility. …

Traymore Nursing Center · Texas

B · No harm, potential for minimal, patternSeptember 22, 2025

Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary care and services to ensure one of 19 final sampled residents (Resident 11) maintained good grooming and personal hygiene. * The facility failed to ensure Resident 11's long fingernails were trimmed. This failure posed the risk of the resident to experience physical discomfort and health complications. Findings: Review of the facility's P&P titled Grooming Care of the Fingernails and Toenails dated 10/21/21, showed nail care is given to clean nail bed and keep nails trimmed. Fingernails are trimmed by Certified Nursing Assistants (CNAs), except for Residents with diabetes or circulatory impairments, this includes toenails except for high-risk residents. …

Mesa Verde Post Acute Care Center · California

By state — 2025

Where F677 is cited more, and less, than expected

Each state is measured against its own expected share, not against other states.

Magenta is cited more often than expected, blue less often.

Co-occurrence

Cited alongside F677

Of the 2025 surveys that cited F677, these tags appeared in the same inspection more often than chance would predict.

Cited in the same inspection, not caused by one another.

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