Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
of F688 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025864
Every F688 citation surveyors wrote nationally that year.
Facilities cited848
Distinct nursing homes with at least one F688 finding.
The harm level
How severely F688 is cited
3.0% 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
J20.1%
K20.1%
L—
Actual harm
G1102.8%
H30.1%
I—
No harm, potential for more than minimal
D3,23582.3%
E57214.6%
F60.2%
No harm, potential for minimal
A—
B10.0%
C—
Every recorded F688 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F688 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, patternMarch 2, 2026
Based on observations, interviews, and record review, the facility failed to ensure three Residents (#24, #6, and #11) received appropriate treatment and services to prevent a decrease in range of motion. Specifically:1.For Resident #24, the facility failed to implement interventions to prevent a new contracture of the left fifth finger from developing and then worsening resulting in the amputation of this left fifth finger. The facility failed to:1a.) Ensure Occupational Therapy (OT) evaluated Resident #24 timely and provided therapy at the frequency ordered. …
Based on observation, record review, and interview, the facility failed to ensure staff provided range of motion (ROM) (joint movement exercises) to maintain functional status and prevent joint contractures (permanent tightening of muscles or joints) for 1 of 2 residents reviewed for restorative care (Resident #37). The facility reported a census of 68 residents. Findings included:Resident #37's MDS assessment dated [DATE] listed diagnoses including cancer (malignant growth), age-related debility (weakness from aging), and adult failure to thrive (decline in physical and cognitive function). Resident #37's MDS documented impairment in ROM on both sides of upper and lower extremities and a Brief Interview for Mental Status (BIMS) score of 7, indicating severely impaired cognition. …
D · No harm, potential for more than minimal, isolatedSeptember 17, 2026
Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to provide services to maintain a resident's range of motion for one of three residents reviewed for range of motion concerns (Resident 7).Findings include: Clinical record review for Resident 7 revealed a diagnosis list that included muscle weakness, age-related cognitive decline, need for assistance with personal care, and muscle wasting and atrophy. A review of the current care plan for Resident 7 included an activity for daily living (ADL) self-care deficit related to physical limitations, obesity, decline in mobility, and decline in self-care awareness. …
B · No harm, potential for minimal, patternAugust 31, 2023
Based on interviews and observations, the facility failed to provide equipment (wheelchair) to maintain and/or improve residents' highest level of mobility for 1 of 1 resident reviewed for positioning and mobility (Resident #27).
Finding:
On 8/28/23 at 12:20 p.m., during an interview with Resident #27, he/she stated they are stuck in their room because they do not have a wheelchair that fits him/her. They can't go to activities or even leave the room due to not having a wheelchair that fits him/her.
During clinical record review the surveyor reviewed Physical Therapy (PT) treatment notes with dates from 6/20/23 to 7/7/23. …
Cited in the same inspection, not caused by one another.
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