F686 in District of Columbia. Pick another state for the same tag.
Against expectation — 2025
District of Columbia cites F686 less often than its own record predicts
Versus expected share0.41×
0.41 times the national share — cited less often here than elsewhere.
Share of District of Columbia citations0.80%
Of every deficiency written in District of Columbia in 2025, this is the portion that was F686.
District of Columbia0.80%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F686 findings written in District of Columbia, 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, patternSeptember 16, 2021
Based on observation, record reviews and staff interviews, facility staff failed to ensure that staff were reporting and documenting changes in resident skin condition as so identified. Subsequently, five (5) of five (5) residents identified by the facility as high risk for developing pressure ulcers had pressure ulcers/injuries first observed by staff at an advance stage (Stage 3, Stage 4 and Unstageable). (Residents' #87, #83, #73, #62, and #42)
Due to these failures an immediate jeopardy situation was identified on September 8, 2021 at 2:01 PM. The facility submitted a plan of action to the survey team on site at 7:31 PM on September 8, 2021 and the plan was accepted. …
Based on observation, record review, and staff interviews, the facility staff failed to provide the necessary treatment and services to prevent the development and progression of pressure ulcers (bedsores) for two (2) of two residents who developed pressure ulcers that were first observed at advanced stages Residents # 150 and #87.
1. Resident #150 was admitted to the facility on [DATE] with multiple diagnoses including Fracture of First Lumbar Vertebra, Abnormalities of Gait Mobility, Generalized Muscle Weakness, Severe Protein-Calorie Malnutrition, and Need for Assistance with Personal Care.
An admission nursing progress note dated 04/09/26 at 6:06 PM documented in part, Resident is alert, oriented and verbally responsive. She's able to make his [her] needs known. …
D · No harm, potential for more than minimal, isolatedMay 23, 2024
Based on record review and staff interviews, for one (1) of 94 sampled residents, facility staff failed to have documented evidence of any skin changes on Resident #466's sacrum prior a deep tissue injury being found that measured 5 centimeters (cm) by 5 cm.
The findings included:
Review of the facility's Wounds and Skin Assessments policy dated January 2024, documented:
- Upon readmission, the resident's skin will be evaluated head-to-toe by a licensed nurse and documentation will be maintained in the resident's Electronic Medical Record (EMR).
- Daily, during routine care and showers, the Certified Nursing Assistant (CNA) will observe the resident's skin. …
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