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 Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F688 less often than its own record predicts
Versus expected share0.82×
0.82 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.66%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F688.
Massachusetts0.66%
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 Massachusetts surveyors wrote
F688 findings written in Massachusetts, 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, 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 observations, interviews, and record review, the facility failed to ensure that appropriate services to maintain or improve range of motion were implemented for two Residents (#21 and #93) out of a total sample of 27 residents. Specifically, 1. For Resident #21, the facility failed to ensure the Physician's orders were followed relative to the use of the right wrist/hand and left-hand orthosis (device used externally that aids in body alignment and/or function), resulting in worsening bilateral hand contractures, and physical pain for the Resident. 2. For Resident #93, the facility failed to ensure the right-hand orthosis recommended by the Occupational Therapist (OT) was being applied for use by the Resident as required, placing the Resident at risk of worsening contractures. …
D · No harm, potential for more than minimal, isolatedMay 20, 2026
Based on observations, interviews, and record reviews, the facility failed to ensure devices to assist with limited range of motion (ROM) were applied for three Residents (#78, #8, and #30), of three applicable residents reviewed for ROM, out of a total sample of 29 residents, placing the Residents at risk for worsening contractures and/or ROM, pain and skin impairment. Specifically: 1. For Resident #78, the facility failed to ensure that a Physician's ordered splint was applied to the Resident's left hand. 2. For Resident #8, the facility failed to ensure a palm guard was applied to the Resident's right hand as recommended by the Occupational Therapist (OT) and ordered by the Physician. 3. …
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