Based on record reviews and interviews, the facility failed to ensure that a resident received monitoring and wound care for 1 of 3 residents reviewed with a pressure ulcer wound (Resident #42 [R42]). This lack of monitoring and wound care resulted in the pressure wound deteriorating and requiring a transfer and admission to the hospital for further treatment. Finding: On 12/6/24, the facility sent a reportable incident form to the State Agency alleging that Licensed Practical Nurse #1 (LPN1) documented that she had changed R42's pressure wound dressing on 12/2/24 and 12/4/24 but on 12/6/24, the pressure wound dressing was observed by Registered Nurse #1 (RN1), dated 11/30/24. On 12/16/24, R42's clinical record was reviewed. …
F686 citations in Maine
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
Maine cites F686 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maine 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 Maine surveyors wrote
F686 findings written in Maine, 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 reviews and interviews, the facility failed to notify the physician, obtain physician orders, and care plan for a resident was admitted to facility (November) with a pressure ulcer to January for 1 of 4 residents reviewed for wound care (Resident #1).Findings:Resident #1 was admitted to the facility in November 2025. A review of the clinical record shows resident had a NSG[Nursing] Admission/readmission Evaluation form completed the day of admission. A review of the evaluation shows Resident #1 had a skin issue present on admission, located on left buttock and type of issue was pressure related.Review of Resident #1's clinical record shows a Daily Skilled Note/Evaluation completed on 11/30/25 and on 12/7/25 which indicated that the reason for his/her daily skilled care is… …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 2.21% | 1.08× |
| 2024 | 0.79% | 0.38× |
| 2025 | 0.52% | 0.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine 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