F689 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F689 less often than its own record predicts
Versus expected share0.48×
0.48 times the national share — cited less often here than elsewhere.
Share of Maryland citations2.63%
Of every deficiency written in Maryland in 2025, this is the portion that was F689.
Maryland2.63%
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 Maryland surveyors wrote
F689 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.
J · Immediate jeopardy, isolatedAugust 21, 2026
Based on facility investigative record review, clinical record review, and staff interviews, it was determined that the facility failed to provide adequate supervision to prevent a cognitively impaired resident from leaving the facility without supervision. This was evident for 1 (Resident #9) of 5 residents reviewed for elopement during the complaint survey. This deficient practice resulted in Immediate Jeopardy. However, the facility developed, implemented, and completed corrective actions prior to the start of this survey. The facility's plan and actions were verified during this survey; therefore, this deficiency was found to be past noncompliance with a compliance date of 8/7/2026. …
Based on record reviews, observations and interviews it was determined that the facility failed to 1) ensure residents were free of accidents, and 2) provide adequate supervision to prevent falls. This was found to be evident for 1 (Resident #82) out of 3 Residents reviewed for accidents during the recertification and complaint survey. This deficient practice resulted in actual harm to Resident #82. The findings include: Tracheostomy (trach) - a surgical opening made through the front of the neck to help a person breathe when their regular airway is blocked, damaged, or they require long term breathing machine support. …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on record review, observation and interviews it was determined the facility staff failed to utilize an appropriate assistive device to prevent a resident fall during transfer. This was evident for 1 (#2) of 3 people reviewed during the survey.The findings include:A Hoyer Lift is a specialized mobile mechanical device used to safely lift, suspend, and transfer patients with limited mobility between a bed, wheelchair, toilet, or shower. Complaint #3156770 was reviewed on 8/19/26 at 10:30 AM. …
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