Based on observations, record review, and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one of seven residents (Resident #113) reviewed. Specifically, Resident #113 experienced significant weight loss and did not receive assistance with meals as planned. This resulted in actual harm to Resident #113 that was not Immediate Jeopardy.Findings include:The facility policy Supporting Activities of Daily Living, revised 10/15/2024, documented residents would receive the services necessary to maintain good nutrition including appropriate support and assistance with meals and snacks. …
F677 citations in New York
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
New York cites F677 more often than its own record predicts
1.23 times the share F677 takes of citations nationally.
Of every deficiency written in New York 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 New York surveyors wrote
F677 findings written in New York, 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, record review, and interviews conducted during the survey, the facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one (Resident #67) of four residents reviewed. Specifically, Resident #67 remained in wet clothing for over two hours after ringing their call light for assistance with personal hygiene. Findings Include: The facility policy titled, Activities of Daily Living (ADLs), Supporting last revised 03/2026 documented Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including… …
Based on observation, interview, and record review conducted during a Standard survey completed on 12/6/21, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) receives the necessary services to maintain grooming and personal hygiene. Specifically, two (Resident #13 and #25) of two residents reviewed for ADL's had long (#13) and dirty fingernails (#13, 25) during multiple observations. The findings are: The facility policy and procedure (P&P) titled Hand and Nail Care dated 1/25/19 documented that residents will receive nail care for cleanliness and to prevent infection. Appropriately trained nursing assistants will provide nail care for all residents except those with diabetes mellitus or severe [CONDITION(S)] (PVD). …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 2.76% | 0.99× |
| 2024 | 2.73% | 1.13× |
| 2025 | 2.78% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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