of F687 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025188
Every F687 citation surveyors wrote nationally that year.
Facilities cited188
Distinct nursing homes with at least one F687 finding.
The harm level
How severely F687 is cited
4.7% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J20.2%
K40.5%
L—
Actual harm
G313.8%
H10.1%
I—
No harm, potential for more than minimal
D68784.8%
E8410.4%
F—
No harm, potential for minimal
A—
B—
C10.1%
Every recorded F687 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F687 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternJune 18, 2026
Based on interview, and record review, the facility failed to provide foot care and treatment, in accordance with professional standards of practice, including to prevent complications from the resident's medical condition for 8 of 8 resident.The facility failed to provide continued care for 8 of 8 residents (Resident #1, Resident # 2, Resident # 3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8) after being treated by podiatry.This failure resulted in Resident #1 developing Gangrene which lead to toe amputation.An Immediate Jeopardy (IJ) was identified on 06/17/2026 at 5:14PM. The initial IJ template was provided to the facility on [DATE] at 5:14PM. …
Based on observation, interview, and record review, the facility failed to implement preventive measures to protect residents' feet from injury, monitor the feet of high-risk residents, identify changes in skin integrity, report changes in wounds, seek treatment from the physician, ensure foot care treatments were completed consistently and according to physician orders, and arrange timely appointments with a podiatrist or wound care specialist for 2 of 3 Residents (Resident 1 and 2) reviewed for foot care. …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on medical record review, observation, resident interview, staff interview, and policy review, the facility failed to ensure residents received regular podiatry services. This affected one resident (Resident #70) of 24 residents sampled. The facility census was 85 residents. Findings include: Review of the medical record for Resident #70 revealed an admission date of 10/29/25 with diagnoses including type two diabetes and type one diabetes. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #70 was cognitively intact. Review of the medical record revealed Resident #70 had a podiatry appointment scheduled for 07/28/26. Interview on 08/25/26 at 9:05 A.M. …
C · No harm, potential for minimal, widespreadSeptember 25, 2024
Based on interview with the Compliance Office (employee #2) on 09/24/2024 at 1:56 PM, it was determined that the facility failed to ensure that residents receive proper treatment and care to maintain mobility and good foot health in accordance with professional standards of practice.
Findings include:
1. During the review of the procedure manual, the foot care policy and procedures was not found. The Compliance Officer (employee #2) were interviewed to see if they could find it in the manual, which they indicated that they did not have it available.
The facility did not ensure compliance with maintenance foot care and treatment, in accordance with professional standards of practice.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Cited in the same inspection, not caused by one another.
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