Based on interviews, observation, record review, and document review, the facility failed to ensure assistance with Activities of Daily Living (ADLs), including personal hygiene was provided for 1 of 37 sampled residents (Resident 115). This deficient practice had the potential to compromise the resident's skin integrity, oral hygiene, overall health status, comfort, and dignity.Findings include:Resident 115 (R115) was admitted to the facility on [DATE] with diagnoses of encounter for other orthopedic aftercare, fracture of the unspecified part of the neck of the unspecified femur, subsequent encounter for closed fracture with routine healing, and pain due to internal orthopedic prosthetic devices, implants, and grafts.On 7/22/2026 at 8:39 AM, R115 indicated they came to the facility on… …
F677 citations in Nevada
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.
Against expectation — 2025
Nevada cites F677 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nevada in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F677 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.
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 1.48% | 0.53× |
| 2024 | 1.53% | 0.63× |
| 2025 | 1.96% | 0.87× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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