Based on record review and interview, it was determined that the facility failed to ensure that a resident receiving anticoagulant (blood thinner) therapy received the necessary care and services for anticoagulation treatment for 5 days for 1 of 3 residents reviewed for anticoagulation therapy (Resident Identifier #1). Findings include: Record review on 5/30/24 of Resident #1's electronic medical record revealed a nurses note, dated 5/1/24 at 6:47 p.m. that stated Resident #1 was noted to have lips slightly cyanotic with vital signs as follows: Blood pressure of 124/87, heart rate of 163, respirations of 40, O2 [oxygen] saturation of 83% on 3 liters of oxygen and a temperature of 97.7 degrees Fahrenheit. …
F684 citations in New Hampshire
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
New Hampshire cites F684 less often than its own record predicts
0.17 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Hampshire 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 New Hampshire surveyors wrote
F684 findings written in New Hampshire, 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 and record review, the facility failed to follow hypoglycemia protocols resulting in a resident becoming unresponsive and requiring intervention and hospitalization in 1 of 3 residents reviewed for hospitalizations in a final sample of 18 residents. (Resident identifier is #4). Findings include:Review on 7/15/26 of Resident #4's provider note dated 2/5/26 revealed that the evening prior, Resident #4 was hospitalized when he/she was found unresponsive with a blood glucose (BG) in low 50's [milligrams per deciliter (mg/dl)].Review on 7/15/26 of Resident #4's February 2026 Medication Administration Record (MAR) for 2/4/26 revealed the following physician orders: Insulin Lispro 100 unit/ml inject per sliding scale: if 1-150 [mg/dl]= [is equal to]0. …
Based on observation, interview, and record review, the facility failed to facilitate ordered services from an outside provider for 1 of 3 residents reviewed for Urinary catheter/UTI (Urinary Tract Infection) in a final sample of 19 residents. (Resident identifier is #36.)Findings include:Interview on 6/8/26 at approximately 10:34 a.m. with Resident #36 revealed that they were waiting for an appointment that was very important to them. Review 6/8/26 of Resident #36's Physician's orders revealed an order dated 5/26/26, please arrange for urgent follow up with urology. to consider prophylactic abx (antibiotics) given repeated hospitalizations with urosepsis and chronic indwelling foley.Interview on 6/11/26 at approximately 1:18 p.m. …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 0.41% | 0.11× |
| 2024 | 0.90% | 0.23× |
| 2025 | 0.72% | 0.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
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