F684 in Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F684 more often than its own record predicts
Versus expected share1.37×
1.37 times the share F684 takes of citations nationally.
Share of Rhode Island citations5.89%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F684.
Rhode Island5.89%
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 Rhode Island surveyors wrote
F684 findings written in Rhode Island, 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.
K · Immediate jeopardy, patternApril 30, 2026
Based on clinical record review and staff interview, the facility failed to ensure that residents received care and services in accordance with professional standards of practice, resulting in Immediate Jeopardy. Specifically, for 3 of 3 residents reviewed who were prescribed anticoagulant (blood-thinning) medications and experienced falls, the facility failed to implement physician orders for post-fall care. This included failure to conduct timely and frequent neurological monitoring (e.g., every 15 minutes for the first hour) and/or the failure to transfer residents to the hospital as ordered. This deficient practice placed Resident IDs #1, #2, and #3 at risk for serious harm, serious impairment, serious injury or death. …
Based on clinical record review and staff interview, the facility failed to provide care and services in accordance with the resident's physician-approved hospice plan of care for 1 of 1 resident reviewed receiving hospice services, Resident ID #1. Specifically, the facility failed to ensure timely administration of physician-ordered Morphine Sulfate for the management of pain and shortness of breath despite repeated hospice recommendations, worsening clinical symptoms, and the medication being available within the facility. As a result, Resident ID #1 experienced prolonged unmanaged pain and respiratory distress, including worsening lethargy, labored breathing, tachypnea (rapid shallow breathing), tachycardia (rapid heart rate), and fever. …
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on clinical record review and staff interview, the facility failed to ensure that a resident receives necessary treatment and services, consistent with professional standards of practice, for 1 of 1 resident reviewed related to follow-up appointments following a hospitalization, Resident ID #5.Findings are as follows:Review of a community reported complaint received by the Rhode Island Department of Health on 8/13/2026 alleges that the facility failed to implement specialist referrals from the hospital including an endocrinology (a doctor that specializes in diabetes) appointment and a neuropsychiatry evaluation since March of 2026 for Resident ID #5.Record review revealed that Resident ID #5 was admitted to the facility in March of 2026 with diagnoses including, but not limited to,… …
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