F686 J Based on interviews, record review, facility document review, facility policy review, it was determined that the facility failed to ensure care and services were provided to prevent new pressure ulcer development and promote healing of existing pressure ulcers including admission and ongoing wound care assessments, appropriate and alternative interventions, and resident understanding of consequences of refusal; specifically no surgical interventions under anesthesia were offered, no intravenous pain medication was offered, no anti-anxiety medication was offered, the Medical Director was not made aware of or involved in care, interventions, or resident education; the Administrator did not participate in resident communications or bedside care plan meetings, no one-on-one in person… …
F686 citations in Arkansas
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
Arkansas cites F686 less often than its own record predicts
0.28 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas 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 Arkansas surveyors wrote
F686 findings written in Arkansas, 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, record review and interview, the facility failed to consistently off load the resident heels, consult the physician with changes in the resident ' s condition, obtain a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] #3) case mix residents who were at risk for the development of pressure ulcers. This failed practice resulted in actual harm to Resident #2 who developed Deep Tissue Injury (DTI) to both heels and had the potential to cause more than minimal harm to affect 12 residents who were at risk for development of pressure ulcers according to a list provided by the Administrator on 6/10/2021. The findings are: 1. Resident #2 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
Based on interviews, record review, and facility document review, it was determined that the facility failed to ensure a resident with a pressure ulcer received the necessary treatment to promote healing for one (Resident #110) of one resident. The facility received Resident #110 with a stage III ulcer on 03/13/2025. The first documented applied dressing was on 03/24/2025. The findings include: A review of the admission Nursing Evaluation, completed by Licensed Practical Nurse (LPN) #1, indicated the facility admitted Resident #110 on03/13/2025 from the hospital with diagnoses that include: pneumonia, sepsis. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 0.15× |
| 2024 | 0.77% | 0.37× |
| 2025 | 0.54% | 0.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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