F695 in Indiana. Pick another state for the same tag.
Against expectation — 2025
Indiana cites F695 more often than its own record predicts
Versus expected share1.29×
1.29 times the share F695 takes of citations nationally.
Share of Indiana citations2.84%
Of every deficiency written in Indiana in 2025, this is the portion that was F695.
Indiana2.84%
National2.20%
Share of all citations that were F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F695 findings written in Indiana, 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 4, 2023
Based on observation, record review, and interview, the facility failed to ensure a resident's bilevel positive airway pressure (BIPAP) equipment (machine used to provide assistance during inspiration and expiration) was implemented upon hospital discharge, and failed to assess the resident's change in condition after not receiving a BIPAP for 3 days for 1 of 4 residents reviewed for quality of care (Residents B). Based on observation, record review, and interview, the facility failed to ensure a resident with a continuous positive airway pressure (CPAP) machine had physician orders and a plan of care for the CPAP machine for 1 of 4 residents reviewed for quality of care (Resident E). …
Based on observation, interview and record review, the facility failed to thoroughly assess and document a resident's change in respiratory status, to notify the physician of signs of respiratory distress and when a [CONDITION(S)]/[CONDITION(S)] (machine used to help with breathing) was not available for a resident who was at risk for respiratory complications and required a hospitalization (Resident 293), and to ensure the humidification was used and wore correctly, infection control measures were in place by labeling and storing equipment appropriately for [CONDITION(S)] care (a tube surgically placed in the throat to assist with receiving air into the lungs) (Resident 49) and failed to obtain a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] .
Findings include:
1. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on interview and record review, the facility failed to ensure a resident who wore oxygen via nasal cannula had a physician's order for oxygen use for 1 of 3 resident's reviewed for death. (Resident B) Finding includes : On 8/10/26 at 11:38 a.m., Resident B's clinical record was reviewed. Diagnoses included but were not limited to, acute on chronic systolic (congestive) heart failure, chronic respiratory failure with hypoxia, unspecified asthma, uncomplicated, chronic pulmonary edema, chronic obstructive pulmonary disease, unspecified, obstructive sleep apnea. A Minimum Data Set (MDS) 5 day assessment was marked yes for oxygen use. Care plans were reviewed and included but were not limited to: The resident has asthma, initiated 6/17/26, revision 6/17/26. …
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