Based on record review, review of hospital records, and interviews, it was determined that the facility failed to provide adequate treatment for an identified foot concern that resulted in harm to the resident. This was found evident in 1 (Resident # 296) out of 1 resident reviewed for foot care. The findings include: On 8/14/24 at 12:22 PM, the surveyor reviewed Resident #296's medical record. The review revealed that Resident #296 was admitted to the facility in early 2017 and had a past medical history that included, but not limited to, type 2 diabetes mellitus with diabetic neuropathy (nerve damage), hyperlipidemia (too many lipids/fats in blood which can clog arteries) and dementia. …
F687 citations in Maryland
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
Maryland cites F687 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F687 findings written in Maryland, 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 interview and record review it was determined the facility failed to ensure consultations were timely scheduled and wound care was consistently performed. This was evident for 1 (Resident #3) out of 1 resident reviewed for foot care during the facility's recertification survey.The findings include:On 10/1/25 at 9:05AM during an interview with Resident #3 they expressed that dressing changes were not occurring at the frequency they were supposed to occur due to there not being enough nursing staff available to perform the dressing changes and additionally, that their specialist appointments for the care of their foot had not yet been set up by facility staff although staff were expressing to them that they were taking care of the scheduling of the appointments. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 1.49× |
| 2024 | 0.21% | 1.11× |
| 2025 | 0.07% | 0.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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