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 North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F688 less often than its own record predicts
Versus expected share0.66×
0.66 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.53%
Of every deficiency written in North Carolina in 2025, this is the portion that was F688.
North Carolina0.53%
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 North Carolina surveyors wrote
F688 findings written in North Carolina, 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.
G · Actual harm, isolatedMarch 21, 2022
Based on observations, record review, staff, resident, Rehabilitation Director and Nurse Practitioner interviews, the facility failed to prevent a contracture from worsening for 1 of 2 residents reviewed for range of motion (Resident #34). Resident #34's left shoulder and elbow were more contracted with less range of motion.
The findings included:
Resident #34 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
Review of a picture in Resident #34's electronic record taken shortly after admission showed Resident #34 sitting up in a wheelchair with her left upper extremity resting in natural position laying at her waist. …
D · No harm, potential for more than minimal, isolatedJuly 27, 2026
Based on observations, record reviews, and interviews with staff and the Nurse Practitioner, the facility failed to apply a right hand C grip splint (a hand orthosis designed to support the wrist and fingers) as ordered by the physician for 1 of 1 residents (Resident #10) reviewed for contractures and range of motion (ROM).Findings included:Record review showed Resident #10 was admitted to the facility on [DATE] with diagnoses including stiffness of the right hand, hemiplegia (paralysis of one side of the body), and hemiparesis (severe weakness affecting one side of the body) following cerebrovascular disease affecting the dominant right side, muscle weakness, and dementia.Review of the care plan revealed the facility care planned Resident #10 as requiring assistance with activities of… …
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