Based on interviews and record review conducted during an Abbreviated Survey (Incident ID: 2640065) from 10/15/2025 to 10/24/2025, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one (1) of three (3) residents (Resident #1) reviewed. Specifically, the facility failed to assess, treat and prevent deterioration of Resident #1's sacral pressure ulcer from 08/30/2025 through 09/22/2025 which resulted in severe pain to the wound and the wound required sharp debridement during a hospitalization. …
F686 citations in New York
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
New York cites F686 more often than its own record predicts
1.12 times the share F686 takes of citations nationally.
Of every deficiency written in New York 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 New York surveyors wrote
F686 findings written in New York, 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 observations, record review, and interviews, the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new ulcers from developing for two of three residents (Resident #12 and Resident #32) reviewed. Specifically, Resident #12 developed a wound on the right buttocks that was identified as an unstageable (full-thickness tissue loss where the true depth cannot be seen because the dead tissue block the wound base) pressure ulcer on 04/14/2025. …
Based on observations, record review, and interviews conducted during survey, the facility failed to ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers. This was evident for one of three residents (Resident #1) reviewed for skin impairment. Specifically, on 03/06/2026, Resident #1 was observed with redness and a skin tear to the sacral area, which was not present during the initial admission. On 03/10/2026, Resident #1's skin was assessed by Registered Nurse #2 (wound care nurse), they documented moisture associated skin damage to the sacral area. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 1.46% | 0.71× |
| 2024 | 2.14% | 1.03× |
| 2025 | 2.20% | 1.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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