Mobility and range of motion · Quality of Life and Care Deficiencies
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.
F688 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F688 more often than its own record predicts
Versus expected share1.06×
1.06 times the share F688 takes of citations nationally.
Share of California citations0.85%
Of every deficiency written in California in 2025, this is the portion that was F688.
California0.85%
National0.80%
Share of all citations that were F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F688 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.
K · Immediate jeopardy, patternFebruary 12, 2024
Based on observation, interview, and record review, the facility failed to ensure, for seven of seven residents (Residents 1, 16, 21, 22, 28, 29, and 151) reviewed for range of motion (ROM the full movement potential of a joint), a system or process was in place to:
1. Identify, assess, evaluate, and monitor residents with limited ROM and contractures (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to (abnormality and stiffness of the joints); and
2. Provide an appropriate care and treatment to improve, maintain, or prevent contractures and/or limitation with ROM. …
Based on observation, interview, and record review, the facility failed to provide services to improve or maintain range of motion ([ROM] full movement potential of a joint) and mobility (ability to move) for five of six sampled residents (Resident 37, 35, 5, 110, 114) with positioning, mobility, and restorative nursing ([RNA] nursing aide program that helps residents to maintain their function and joint mobility) concerns.a. For Resident 37, the facility failed to:1. Measure Resident 37's ROM in the joints of both arms during the Occupational Therapy ([OT] profession aimed to increase or maintain a person's capability of participating in everyday life activities [occupations]) Evaluation, dated 9/17/2025. 2. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the residents received appropriate treatment and services to maintain range of motion (ROM) for two of 16 final sampled residents reviewed for position/mobility (Residents 25 and 42). * The facility failed to ensure Resident 25 received RNA services as recommended by PT and OT. * The facility failed to provide documented evidence to show the splints for Resident 42 were applied as ordered by the physician and whether skin assessment was completed before and after splint use. …
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