Based on observation, interview, and record review, the facility failed to provide services to maintain vision for one of three sampled residents (Resident 1) when the facility failed to: 1. Administer Lumigan (prescription medicated eye drops that helps reduce intraocular pressure-the fluid pressure in the eyes. If the pressure is too high, it can cause irreversible vision loss) as ordered by the ophthalmologist (OPTH - medical doctors who specialize in all aspects of eye care). 2. Arrange the follow-up appointment with OPTH as ordered for continued eye assessment and care management. …
F685 citations in California
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.
Against expectation — 2025
California cites F685 more often than its own record predicts
1.09 times the share F685 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F685.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F685 findings written in California, 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 observation, interview, and record review, the facility failed to ensure a hearing aid was maintained in working condition for one of one sampled resident (Resident 19) when Resident 19's right hearing aid was not functioning. This failure had the potential to result in ineffective communication, inability to hear and understand information regarding medications and care provided by facility staff.Findings: During a review of Resident 19's Face Sheet (FS), the FS indicated the facility admitted Resident 19 on 7/31/2026 with diagnoses that included urinary tract infection (an infection of the urinary tract). …
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. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.30% | 1.12× |
| 2024 | 0.38% | 1.35× |
| 2025 | 0.27% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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