Based on record review and interview, the facility failed to ensure provision of necessary care and services for one resident (#1) out of 20 sampled residents.Specifically, the facility failed to:1) monitor and evaluate the resident's response to the IV fluid bolus ordered on [DATE];2) educate and inform the resident of the risks and benefits after he/she declined vital sign measurements while in a life threatening condition;3) notify the attending provider of the resident's refusal of care, sustained hypotension and continued altered mental status; and4) ensure the resident was transferred to the emergency room for a higher level of care. …
F684 citations in Alaska
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F684 more often than its own record predicts
1.11 times the share F684 takes of citations nationally.
Of every deficiency written in Alaska in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F684 findings written in Alaska, 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 record review and interview, the facility failed to ensure necessary care and services were received to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 2 residents (#6 and #9), out 6 sampled residents. Specifically, the facility failed to: 1) Administer scheduled wound treatment and dressing change orders to Resident #6's right thigh and right buttock on 11/6/25 and 11/8/25; 2) Properly assess reports of increased right leg pain on 11/7-9/25 by Resident #6 and appropriately report this change in condition to providers; and 3) Ensure timely notification for Wound Care Team assessment and interventions for a change in condition of a surgical site for Resident #9's pacemaker (an artificial device surgically placed under the skin for… …
.Based on record review and interview, the facility failed to ensure that 1 resident (Resident #11) out of 1 resident reviewed for dialysis care, received treatment and care in accordance with physician orders, the comprehensive person-centered care plan, and professional standards of practice. Specifically, the facility failed to:1. remove a post-dialysis dressing within the ordered timeframe;2. assess and accurately document the condition of the resident's dialysis access site; and3. …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2023 | 2.19% | 0.60× |
| 2024 | 3.88% | 0.97× |
| 2025 | 4.79% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska 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