Based on record review and interview, the facility did not ensure that 1 of 3 sampled residents (R1) received treatment and care in accordance with professional standards of practice for foot care. LPN [NAME] (Licensed Practical Nurse) falsely documented that she completed R1's diabetic foot checks on the following dates: ,[DATE], ,[DATE], ,[DATE], ,[DATE], ,[DATE] and ,[DATE]. R1 was noted to have an extensive full thickness wound on [DATE]. LPN [NAME] did not document the wound on the foot, consult the physician regarding the development of the foot wound, or any areas of impaired skin integrity. On [DATE], R1 was noted to have an extensive full-thickness gangrene wound on his right foot. R1 was hospitalized for [REDACTED]. R1 went on hospice on [DATE] and expired on [DATE]. …
F687 citations in Wisconsin
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
Wisconsin cites F687 more often than its own record predicts
1.05 times the share F687 takes of citations nationally.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F687 findings written in Wisconsin, 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 record reviews and interviews, the facility did not ensure that 1 of 1 sampled residents (R184) received treatment and care in accordance with professional standards of practice for foot care. The facility did not complete daily foot checks for a Resident (R184) who has the [DIAGNOSES REDACTED]. R184 was observed with scabbed areas to her left shin and dark discolored areas to her feet. These darkened discolored areas were not identified prior to Surveyor's observation and notification to the facility's wound nurse/Licensed Practical Nurse (LPN-I). …
Based on observation, interview, and record review, the facility did not ensure the provision of foot and nail care for 1 of 3 residents (R2) in a total sample of 9 residents.The facility did not provide toe nail care for R2 in accordance with their care plan or the facility's policy.Findings include:The facility's Nail Care policy, dated 5/2025, indicates: The purpose of this procedure is to provide guidelines for the provision of care to a resident's nails for good grooming and health .4. Routine nail care, to include trimming and filing, will be provided on a regular schedule .Nail care will be provided between scheduled occasions as the need arises .R2 was admitted to the facility on [DATE] and had diagnoses including acute respiratory failure with hypoxia and diabetes. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 1.63× |
| 2024 | 0.38% | 2.01× |
| 2025 | 0.18% | 1.05× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction