F684 in Nebraska. Pick another state for the same tag.
Against expectation — 2025
Nebraska cites F684 more often than its own record predicts
Versus expected share1.43×
1.43 times the share F684 takes of citations nationally.
Share of Nebraska citations6.13%
Of every deficiency written in Nebraska in 2025, this is the portion that was F684.
Nebraska6.13%
National4.30%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F684 findings written in Nebraska, 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.
J · Immediate jeopardy, isolatedApril 16, 2025
Licensure Reference Number: 175 NAC 12-006.09
Based on record reviews and interviews, the facility failed to follow physician orders for 1 of 4 sampled residents (Resident 1). The facility census was 42.
The facility Administrator was notified on 4/16/25 at 7:48 PM of an Immediate Jeopardy (IJ) which began on 3/18/25. The IJ was removed on 4/16/25, as confirmed by surveyor onsite verification.
Findings are:
Review of Resident 1's Baseline Care Plan (BCP, a plan of care for the resident that includes the minimum information needed to provide effective, person-centered care immediately upon admission) last updated on 04/16/2025 revealed the resident was admitted to the facility on [DATE] from another facility for long term care. …
Licensure Reference Number 175 NAC 12-006.09Based on interview and record review, the facility failed to follow provider's orders and failed to notify a provider that orders were not initiated for 1 (Resident 4) of 4 sampled residents. The facility identified a census of 99. A record review of Resident 4's admission Record revealed the resident was admitted to the facility on [DATE] with diagnoses of displaced fracture of the right humerus (upper arm bone), type 2 diabetes (chronic condition where the body is unable to regulate blood sugars effectively), and acute kidney failure.A record review of progress notes in Resident 4's electronic medical record from 4/28/26 at 10:23 AM revealed the following:Resident 4 had an oxygen saturation of 85% on room air, clear lung sounds with diminished… …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Licensure Reference Number 175 NAC 12-006.9(H)(iii)(3) Based on observation, record review, and interview the facility failed to provide wound care in a manner consistent with professional standards of practice, in a manner to prevent the potential for cross contamination, and as prescribed by the provider for Resident 18, and failed to ensure provider recommendations were completed or followed up on for 2 (Residents 18 and 11) of 5 sampled residents. The facility census was 54. Findings are:Record review of a facility policy titled Wound Treatment Management and dated 11/11/2025 revealed it was the policy of the facility to promote wound healing in various types of wound to provide evidence-based treatments in accordance with current standards of practice and physician orders. …
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