F695 in New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F695 less often than its own record predicts
Versus expected share0.85×
0.85 times the national share — cited less often here than elsewhere.
Share of New York citations1.87%
Of every deficiency written in New York in 2025, this is the portion that was F695.
New York1.87%
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 New York surveyors wrote
F695 findings written in New York, 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.
L · Immediate jeopardy, widespreadMarch 31, 2026
Based on observation, interview, and record review, the facility failed to ensure that a resident who required respiratory care, including tracheostomy (a surgically created opening called a stoma in the front of the neck leading into the windpipe (trachea) to help a person breathe) care, received services consistent with professional standards of practice and the comprehensive person-centered care plan. This deficient practice was evidenced by the facility's nursing and respiratory therapy staff's failure to respond to critical oxygen saturation alarms for one (1) of six (6) residents (Resident #1) sampled for respiratory care. Specifically, on [DATE] at 8:58 AM, the resident's oxygen saturation dropped to 84%. …
Based on record review and interview conducted during an abbreviated survey (Case #2635234), the facility did not ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for one (1) of four (4) residents (Resident #1) reviewed. Specifically, on [DATE] at 11:30 PM, Resident #1 was found unresponsive with an oxygen saturation of 73 percent (normal 95 to100 percent) and signs of respiratory distress. Emergency Medical Services documented 'extreme' wheezing in all lung fields and a clinical impression of pneumonia (an infection in one or both lungs). …
D · No harm, potential for more than minimal, isolatedAugust 12, 2026
Based on observations, interviews, and record review, the facility failed to ensure residents who require respiratory care, including nebulizer and oxygen therapy, are provided with such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals. This was evident for one (Resident #3) of one residents reviewed for Respiratory Care. Specifically, there was no documented evidence that the nebulizer and bilevel positive airway pressure (BIPAP) (a type of noninvasive positive pressure ventilation used to help patients breathe more effectively) mask/tubing provided for Resident #3 were changed as per professional standards of care, and there was no documented evidence that Resident #3 was assessed pre- and post-nebulizer… …
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