Based on observation, interview and record review, the facility failed to ensure licensed nurse (LN) staff followed Podiatrist 1 ' s (P, a podiatrist is a medical specialist who treats conditions related to foot, ankle, and lower leg) instructions to check Residents 5 and 6 ' s feet daily, apply lotion daily, and elevate their feet to reduce edema (swelling). From 6/14/22 to 11/1/22 (five months), LN staff did not assess foot and toenail care and Certified Nursing Assistants (CNAs) did not provide daily foot and toenail care in accordance with P1 ' s instructions. …
F687 citations in California
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F687 more often than its own record predicts
1.35 times the share F687 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F687.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F687 findings written in California, 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 provide proper foot care and treatment to maintain good foot health for one of two sampled residents (Resident 10) by failing to: 1. Inspect Resident 10's skin during daily provisions (everyday care, services, and basic necessities provided to the resident to keep them safe, comfortable, and health) on 6/15/2026 to 6/28/2026 and on 7/1/2026 to 7/15/2026 as indicated in Resident 10's care plan (a document that summarizes a person's health conditions, specific care needs, and current treatments) titled, At Risk for Skin Breakdown related to Braden Risk (a scoring tool used to predict resident's risk of developing a pressure ulcer, total score ranges from zero to 18) score (Resident 10's Braden Risk score is 13 -… …
Based on observation, interview, and record review, the facility failed to consistently refer and provide podiatry services (a physician specializing in the care of the feet) for three of three sampled residents (Resident 1, Resident 2 and Resident 3) when a tracking system was not in place that tracked which residents needed to be seen and who had already been seen by the podiatrist for a total census of 115 residents.These failures put Resident 1, Resident 2 and Resident 3 at risk for injury, pain, and infection due to a lack of podiatry care as well as other residents in the facility.Findings:A review of Resident 1's health record titled admission RECORD indicated, Resident 1 was admitted to the facility in late 2020 with multiple diagnoses including Alzheimer's disease (a progressive… …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 1.48× |
| 2024 | 0.22% | 1.17× |
| 2025 | 0.23% | 1.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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