Based on record review, staff interviews, review of the neglect investigation and clinical guidance, the facility failed to ensure resident's were provided treatment and care in accordance with professional standards of practice, and the residents goals and preferences when they did not identify and act upon Resident #60's physical and cognitive deterioration. This failure resulted in Immediate Jeopardy to Resident #60's health and safety when Resident #60 was not promptly assessed and treated for acute changes in condition, leading to hospitalization of sepsis (a life-threatening condition where the body's immune system has a severe and overwhelming response to an infection, causing damage to its own tissues and organs) and Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis (a rare,… …
F684 citations in Idaho
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
Idaho cites F684 more often than its own record predicts
1.20 times the share F684 takes of citations nationally.
Of every deficiency written in Idaho 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 Idaho surveyors wrote
F684 findings written in Idaho, 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 interview, observation, record review, and policy review, the facility failed to ensure two out of 20 sampled residents (Residents (R)30 and R43) were provided with adequate and or timely nursing care and services after: 1. R30 experienced a fall in which she sustained a significant laceration to her forehead and 2. R43's hospice orders were not implemented in a timely manner. The failure to send R30 to the emergency department (ED) timely resulted in harm when R30's laceration could not be sutured and then required debridement and continued treatment three weeks after the fall. …
Based on record review and staff interview, it was determined the facility failed to follow physician's oxygen orders and bowel care order for delivering specific medications when residents do not have BM within 72 hours for 1 of 12 residents (Resident #82) whose records were reviewed for bowel and bladder care and 1 of 6 residents (Resident #29) observed for oxygen administration. This failed practice created the potential for residents to experience discomfort when oxygen or medications were not administered according to the physician's order. …
The short window
Recent years
| Year | Share of Idaho citations | vs expected |
|---|---|---|
| 2023 | 3.81% | 1.05× |
| 2024 | 4.75% | 1.19× |
| 2025 | 5.15% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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