Based on interview, record review, and observation, the facility failed to ensure that residents received the necessary care and services to prevent the development of new pressure ulcers in 4 residents (#s 7, 12, 42, and 43), out of 28 sampled residents. Failure to accurately and consistently assess and monitor for wounds, provide appropriate interventions, and revise interventions on a timely basis resulted in physical harm to residents who developed deep tissue injuries and stage II, III, and IV pressure ulcers, with 2 resident developing medical complications [MEDICAL RECORD OR PHYSICIAN ORDER] . This situation was brought to the attention of the facility's administration on 12/17/21 at 4:30 PM, at which time the facility was notified of identified physical harm and immediate jeopardy. …
F686 citations in Alaska
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F686 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alaska in 2025, this is the portion that was F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F686 findings written in Alaska, 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 record review and interview, the facility failed to ensure necessary treatment and services, consistent with professional standards of practice, were provided for the treatment of pressure ulcers. Specifically, the facility failed to ensure a resident with a facility acquired pressure ulcer received appropriate treatment interventions, to include timely higher level of care, for 1 Resident (#110), out of 3 residents with pressure ulcers reviewed. These failed practices contributed to Resident #110 being hospitalized with sepsis and passed away from this complication Findings:Resident #110Record review on 12/14-24/25 revealed Resident #110 was admitted to the facility on [DATE] with diagnoses that included end stage renal disease and type 2 diabetes. …
Based on record review, observation, and interview, the facility failed to ensure residents received the necessary care and services to monitor for and prevent the development of pressure ulcers for 3 sampled residents (#28, #51, and #492), out of 21 sampled residents. Specifically, the facility failed to: 1) Accurately assess and monitor for wounds for Resident #28; and 2) Consistently turn and reposition 2 residents (#51 and #492). These failed practices had the potential to place the residents at risk for unnecessary pain, increased risk of infection, skin breakdown, and impair the residents' overall health and wellbeing. …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2023 | 0.73% | 0.36× |
| 2024 | 0.78% | 0.37× |
| 2025 | 1.06% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction