Based on record review and interviews, the facility failed to monitor and adequately treat 1 of 2 residents (Resident #255 [R255]) reviewed for Skin Conditions, when the facility failed to follow discharge orders for the use of a diuretic medication (a medication used to treat fluid retention [edema] associated with conditions such as heart failure), obtain and monitor daily weights, and failed to report a potentially significant weight gain. These failures resulted in harm to R255 who required hospitalization for the treatment of worsening signs and symptoms of diastolic congestive heart failure. …
F684 citations in Maine
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
Maine cites F684 more often than its own record predicts
1.19 times the share F684 takes of citations nationally.
Of every deficiency written in Maine 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 Maine surveyors wrote
F684 findings written in Maine, 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 document and adequately monitor a resident after an unwitnessed fall for 1 of 2 residents reviewed for falls (Resident #25 [R25]).Finding: A review of R25's clinical record revealed he/she sustained an unwitnessed fall on 7/1/26, 7/18/26, and 8/17/26.The facility's Neuro (Neurological) Check Sheet indicates that neurological monitoring is to be completed immediately at the time of the incident, every 15 minutes for the first hour following the incident, then every hour for 4 hours, then every 4 hours for 24 hours, and states, The neurological assessment will continue to be completed at least every 8 hours for the next 48 hours, consisting of a 72 hour monitoring period.A review of R25's Neuro (Neurological) Check Sheets for the… …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 7.57% | 2.09× |
| 2024 | 5.91% | 1.48× |
| 2025 | 5.09% | 1.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine surveyors cite →
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