Based on record review, interview, and observation, it was determined that the facility failed to have a system in place to ensure that therapist recommendations were conveyed to nursing when a resident was discharged from therapy resulting in a failure to provide treatment to prevent a decrease in range of motion. This deficient practice resulted in harm to Resident #41 due to the development of a contracture. This was found to be evident for 2 (Resident #41 and Resident #8) out of 3 residents reviewed for position, mobility, and rehabilitation. The findings include: 1. Resident # 41 was a long-term resident of the facility with mild cognitive impairment. …
F688 citations in Maryland
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F688 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F688 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 observation, record review, and interviews it was determined that the facility failed to provide treatment to prevent further decreased range of motion for a Resident. This was found evident of 1 (Resident #6) out of 2 residents reviewed for mobility. The findings include: On 6/15/26 at 11:47 AM, the surveyor observed Resident #6 participating in activities and noted the resident had left-sided weaknesses. No splints or supportive devices were noted. On 6/15/26 at 2:48 PM, the surveyor reviewed Resident #6's care plan and noted a care plan that state Resident #6 has osteoarthritis, contraction to the left hand/wrist initiated on 7/7/22. On 6/16/26 at 9:53 AM, the surveyor conducted an interview with the Director of Rehab (DOR) #9. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.51% | 0.55× |
| 2024 | 0.85% | 0.96× |
| 2025 | 0.46% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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