F686 in Nevada. Pick another state for the same tag.
Against expectation — 2025
Nevada cites F686 less often than its own record predicts
Versus expected share0.83×
0.83 times the national share — cited less often here than elsewhere.
Share of Nevada citations1.64%
Of every deficiency written in Nevada in 2025, this is the portion that was F686.
Nevada1.64%
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 Nevada surveyors wrote
F686 findings written in Nevada, 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.
J · Immediate jeopardy, isolatedNovember 3, 2020
Based on observation, interview, record review and document review, the facility failed to ensure orders for pressure relieving and repositioning interventions to prevent a resident from developing pressure ulcers and to prevent pressure related wounds from worsening were communicated to the responsible staff. This resulted in facility-acquired pressure wounds and worsening of wounds for one discharged resident (Resident #1) and 1 of 7 active sampled residents with pressure related wounds or injuries (Resident #4).
Findings include:
Resident #1
Resident #1 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED].
The admission assessment, dated 12/16/19, documented Resident #1 had no pressure ulcers or injuries upon admission. …
Based on observation, interview, clinical record review, and document review, the facility failed to ensure a bed bound resident with a pressure ulcer was repositioned every two hours and assistive heal protectors were applied correctly, resulting in additional pressure ulcers for 1 of 22 sampled residents (Resident #81).
Findings include:
Resident #81
Resident #81 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including encephalopathy, unspecified, cognitive communication deficit, muscle weakness, generalized, contracture of muscle, left lower leg, osteomyelitis of vertebra, sacral and sacrococcygeal region, pressure ulcer of sacral region, stage IV, unspecified protein calorie malnutrition, personal history of traumatic brain injury. …
D · No harm, potential for more than minimal, isolatedMarch 27, 2026
Based on observation, interview, record review and document review, the facility failed to ensure a comprehensive skin assessment was performed by the wound care team upon readmission of a resident who had existing pressure ulcers and the resident was assessed as a high risk for developing and worsening pressure ulcers for 1 of 38 sampled residents (Resident 15). The deficient practice placed the residents at risk for recurrent wound infection. Findings include:Resident 15 (R15) was admitted on [DATE] and readmitted on [DATE], with diagnoses including quadriplegia, acute sepsis, and presence of pressure ulcers. …
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