of F692 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 20251,236
Every F692 citation surveyors wrote nationally that year.
Facilities cited1,199
Distinct nursing homes with at least one F692 finding.
The harm level
How severely F692 is cited
12.0% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J340.6%
K210.4%
L—
Actual harm
G56710.5%
H240.4%
I10.0%
No harm, potential for more than minimal
D4,07075.7%
E65612.2%
F30.1%
No harm, potential for minimal
A—
B—
C—
Every recorded F692 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F692 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedAugust 24, 2026
Based on record review, family, resident, and staff interviews, observations, review of International Dysphagia Diet Standardization Initiative (IDDSI) resources, review of the Comparison Chart National Dysphagia Diet > IDDSI, review of American Diabetes Association and Academy and Nutrition and Dietetics guidance, and policy review, the facility failed to ensure a resident did not have a severe weight loss and failed to ensure the proper diet texture was provided. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, negative health outcomes, and/or death on 06/12/26 when Resident #50 was admitted to the facility and the facility placed the resident on a pureed diet. …
Based on clinical record review and staff interview, it was determined the facility failed to timely respond to significant weight loss for three of eight residents reviewed for nutrition concerns (Residents 1, 5, and 56), implement weight monitoring and continued evaluation for a resident at nutritional risk for one of eight residents reviewed for nutrition concerns (Resident 17), and to obtain, monitor, and evaluate weights, respond to severe weight loss, notify the physician of significant/severe weight loss, and evaluate the effectiveness of nutritional interventions resulting in actual harm of further severe weight loss for one of eight residents reviewed for nutrition concerns (Resident 12). …
D · No harm, potential for more than minimal, isolatedSeptember 11, 2026
Based on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to properly monitor weight and nutrition status by failing to obtain weekly weights for one of three residents (Resident R6).Findings include: Review of the facility policy Resident Weight Monitoring dated 5/1/26, indicated resident weights will be obtained and monitored to establish a baseline, identify significant changes, and support the residents' national and medical plan of care. All weights will be documented in the resident's medical record. A suspected significant or unexpected weight change will be promptly verified by obtaining a reweight. Following a confirmed significant weight change, weekly weights for four weeks may be implemented. …
B · No harm, potential for minimal, patternJanuary 10, 2019
Based on observation, interview, and record review, the facility failed to offer sufficient fluid intake to maintain proper hydration and health for 2 of 4 residents (#03 & #13) reviviewed for hydration.
This failure has the potential to put residents at risk for Urinary Tract Infections, Constipation and Dehydration.
Findings include:
Review of Resident #13 Face Sheet dated 05/03/18 revealed she was a [AGE] year-old female most recently admitted to the facility on [DATE] with the following Diagnoses: [REDACTED].
Review of Resident #13 annual MDS (Minimum Data Set) dated 10/10/18 revealed a BIMS (Brief Interview of Menta Status) score of 15 indicating no cognitive impairment. …
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Cited in the same inspection, not caused by one another.
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