This citation pertains to Complaint 3052364Based on observation, interview and record review, the facility failed to ensure vision services were provided for one (R801) of two residents reviewed for vision services resulting in emergency laser surgery to reduce eye pressure and lost vision in the left eye. Findings include:A complaint was filed with the State Agency [SA] that alleged in part, .[R801] complained of eye pain and asked about seeing an eye doctor, was told. that she is on the eye doctor list. she was diagnosed with glaucoma in 2015. [R801] again requested Tylenol for her eye pain and asked to see an eye doctor 6/15/25. is on the list for their next visit. continued to express eye pain and discomfort, so the family coordinated an off-site eye appointment. …
F685
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F685 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F685 finding.
The harm level
How severely F685 is cited
0.7% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G80.6% | H10.1% | I— |
| No harm, potential for more than minimal | D1,16693.2% | E725.8% | F10.1% |
| No harm, potential for minimal | A— | B20.2% | C10.1% |
In the surveyor’s words
What an F685 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on complaint, reviews of a closed clinical record and all other pertinent administrative documents, and interviews with the resident and facility staff, it was determined that the facility staff failed to maintain transfer to the local eyeglass store as indicated in the ophthalmology consultant's discharge/consult note. This was evident for 1 (Resident #4) of 5 residents reviewed during a complaint survey. The findings include: On 6/18/26 at 10:46 am the Office of Health Care Quality received a complaint (3048023) from another State agency that indicated Resident #4 was inappropriately discharge from the facility. …
Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the assistive devices to help with vision was provided for one of 28 final sampled residents (Resident 47). This failure posed the risk of Resident 47 to not maintain his ability to see and perform his daily activities. Findings: Review of the facility's P&P titled Use of Assistive Devices revised 12/19/22, showed the purpose of this policy is to provide a reliable process for the proper and consistent use of assistive devices for those residents requiring equipment to maintain or improve function and/or dignity. The P&P showed the Policy and Explanation and Compliance Guidelines: h. sensory enhancement (glasses). 2. …
By state — 2025
Where F685 is cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
- Ohio1.85× · 29 citations
- California1.09× · 42 citations
Co-occurrence
Cited alongside F685
Of the 2025 surveys that cited F685, these tags appeared in the same inspection more often than chance would predict.
- F79117.9% of F685 surveys · 15.6× chance
Provide or obtain dental services for each resident.
- F73012.2% of F685 surveys · 8.5× chance
Observe each nurse aide's job performance and give regular training.
- F75618.3% of F685 surveys · 5.6× chance
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F68814.8% of F685 surveys · 4.5× chance
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- F57816.7% of F685 surveys · 4.3× chance
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Cited in the same inspection, not caused by one another.
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