F689 in Arkansas. Pick another state for the same tag.
Against expectation — 2025
Arkansas cites F689 more often than its own record predicts
Versus expected share1.60×
1.60 times the share F689 takes of citations nationally.
Share of Arkansas citations8.88%
Of every deficiency written in Arkansas in 2025, this is the portion that was F689.
Arkansas8.88%
National5.53%
Share of all citations that were F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F689 findings written in Arkansas, 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, patternAugust 6, 2026
Number of residents sampled:Number of residents cited:
Based on record review, document review and interview, the facility failed to supervise, monitor and put interventions in place for residents with known exit seeking behaviors to prevent access to potentially hazardous areas without assistance for and prevent an elopement for two (Resident #100, and Resident #107) residents of four residents reviewed.
It was determined the facilities non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. …
Based on interviews, record review, and facility document review, the facility failed to ensure staff followed the Care Plan for one (Resident #1) of six residents reviewed. This failed practice led to an avoidable accident in which the resident obtained a fracture of the right distal femur.
The findings include:
Review of the Medical Diagnosis portion of the electronic health record revealed Resident #1 had diagnoses that included chronic obstructive pulmonary disease, kidney failure, type 2 diabetes, muscle wasting, and atrophy.
Review of Resident #1s quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/16/26, revealed a Brief Interview for Mental Status (BIMS) score of 12, which indicated the resident had moderate cognitive impairment. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observations, interviews, record review and facility policy review, it was determined that the facility failed to prevent avoidable accidents for one (Resident #2) of four residents reviewed.
The findings include:
A review of the admission Record revealed the facility admitted Resident #2 on 10/07/2026, with diagnoses that included lack of coordination, muscle wasting and atrophy, muscle weakness, recovery care following surgery on the abdomen and laceration of the liver.
A review of the admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/10/2025 , revealed Resident #2 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. …
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