F684 in New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F684 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F684 takes of citations nationally.
Share of New York citations4.50%
Of every deficiency written in New York in 2025, this is the portion that was F684.
New York4.50%
National4.29%
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 New York surveyors wrote
F684 findings written in New York, 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, isolatedAugust 21, 2026
Based on record review and interviews, the facility failed to ensure that each resident received treatment and care in accordance with professional standards of practice to maintain their highest practicable physical wellbeing. This was identified for one resident (Resident #1) of three residents reviewed. Specifically, on 07/24/2026, Resident #1 experienced increased abdominal pain following a cholecystectomy (laparoscopic abdominal surgery to remove the gallbladder). There was no documented evidence that Resident #1 was assessed by a registered nurse or physician after abdominal pain was not resolved after as needed narcotic medications were administered. …
Based on record review, observations, and interviews (iQIES 3066498), the facility failed to promptly identify and intervene for an acute change in a resident's condition for one of three (Resident #1) residents reviewed. Specifically, during the night shift of 06/27/2026, Resident #1 complained of chest pain and requested to go to the hospital three times. Interviews revealed Registered Nurse Supervisor #5 assessed the resident, did not think the resident was having a heart attack and failed to send the resident to the hospital. There was no documented evidence related to the assessment. Licensed Practical Nurse #6, using their personal cell phone, called 911 for the resident on 06/27/2026 at 6:11 AM. The resident was diagnosed with a heart attack and required emergent treatment. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observations, record reviews and interviews conducted during the Abbreviated Survey, the facility did not ensure necessary care and services were provided to timely identify and monitor changes in skin integrity for one (Resident #2) of three residents reviewed for quality of care. Specifically, Resident #2 who was care planned as at risk for impaired skin integrity and needed daily skin monitoring and checks as well as weekly skin checks on shower days was identified with a small skin opening to the right buttock during a shower on 10/16/2025. The area was later evaluated by the facility's wound care doctor, a physician assistant, and identified as a Stage three pressure injury on 10/16/2025. …
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