Based on record review and interviews, the facility failed to ensure residents at risk for pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, and/or to prevent the development of new ulcers unless the individual's clinical condition demonstrated they were unavoidable for 1 (Resident #25) resident reviewed for transmission based precautions. The deficient practice resulted in an Immediate Jeopardy for Resident #25 on 11/01/2024 when Resident #25 was admitted to the hospital when bilateral heel boot protectors were removed and a border dressing to the left heel dated 5/17 was found to be in place. …
F686 citations in Louisiana
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
Louisiana cites F686 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Louisiana 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 Louisiana surveyors wrote
F686 findings written in Louisiana, 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 that a resident received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent new pressure ulcers from worsening. The facility failed to: 1. conduct weekly body audits;2. report new skin findings to the nurse practitioner/physician in addition to the treatment nurse; and3. administer standing wound care orders for newly identified stage I pressure ulcer for 1 (#44) of 3 (#2, #11, and #44) residents reviewed for pressure ulcers. …
Based on record review, observations and interview, the facility failed to ensure a resident's treatment plan for pressure ulcers was followed by failing to apply a resident's heel protectors as ordered for 1(Resident #3) out of 2 residents investigated for pressure ulcers.Findings: Review of Resident #3's clinical record revealed he was admitted to the facility on [DATE], with diagnoses that included, but were not limited to paroxysmal atrial fibrillation, cerebral infarction, other lack of coordination, cognitive communication deficit, muscle weakness, and pressure ulcer of left heel, unstageable.Review of the resident's quarterly MDS (Minimum Data Set) dated 05/12/2026, revealed his BIMS (Brief Interview of Mental Status) score was 5, indicating severe cognitive impairment.Resident #3… …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 1.53% | 0.75× |
| 2024 | 1.36% | 0.65× |
| 2025 | 1.56% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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