Based on interview and record review it was determined the facility failed to provide adequate foot care for 1 of 3 sampled residents (#6) reviewed for diabetic foot care. This caused Resident 6 to develop a full thickness diabetic foot ulcer. This placed other residents at risk for increased foot problems. Findings include: Resident 6 was admitted to the facility in 2017 with diagnoses including diabetes with neurological complication. Review of Resident 6's clinical record revealed the following: A care plan intervention initiated 7/2017 revealed Resident 6 was to always wear her/his custom diabetic shoes when up and or mobilizing. …
F687 citations in Oregon
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
Oregon cites F687 more often than its own record predicts
1.81 times the share F687 takes of citations nationally.
Of every deficiency written in Oregon 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 Oregon surveyors wrote
F687 findings written in Oregon, 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 it was determined the facility failed to provide appropriate foot care for 2 of 5 sampled resident (#42 and 45) reviewed for ADL care. This placed residents at risk for complications and discomfort. Findings include: Resident 42 was admitted to the facility in 8/2025 with diagnoses including diabetes. The 11/24/25 Modified Quarterly MDS indicated Resident 42 had a BIMS score of 15 which indicated the resident was cognitively intact. The 9/5/25 Care Plan indicated the nursing staff completed nail trimming for Resident 42 and staff monitored skin conditions when care was provided and staff notified the nurse of any open areas or red skin areas. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.62% | 3.63× |
| 2024 | 0.30% | 1.58× |
| 2025 | 0.31% | 1.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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