Based on interview and record review the facility failed to provide prescribed pain medications for a resident in severe pain requiring the resident to be readmitted to the hospital for pain management for 1 of 6 residents (Resident #6). Findings include: An Immediate Jeopardy was identified on [DATE] at 4:00 PM, due to a resident's narcotic pain medication not being provided by the facility requiring the resident to be readmitted to the hospital for management of severe pain. The Immediate Jeopardy was abated at 5:32 PM on [DATE]. Resident #6 Resident #6 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] - Oxycodone 15 mg tablet every four hours as needed for severe pain. …
F697 citations in Nevada
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F697 more often than its own record predicts
2.52 times the share F697 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F697 findings written in Nevada, 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.
Based on observation, interview, clinical record review and document review, the facility failed to ensure a resident admitted for orthopedic aftercare following a surgical amputation had the severe pain managed according to the physician's order for 1 of 14 sampled residents (Resident #403) resulting in the resident experiencing actual severe pain. Findings include: Resident #403 Resident #403 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnosis of encounter for orthopedic aftercare following surgical amputation. Resident #403's discharge summary from acute care, dated 02/10/24, documented the resident reported significant pain after the surgery but the pain was adequately controlled with pain medications. …
Based on interview, observation, clinical record review and document review, the facility failed to ensure a resident's pain was managed with care planned interventions, pain was evaluated per physician orders, and appropriate administration of pain medication for 2 of 31 sampled residents (Resident #71 and #6). This deficient practice had the potential for unrelieved pain, discomfort, and inadequate pain management.Findings include:Resident #71 Resident #71 was admitted to the facility on [DATE], with diagnoses including encounter for orthopedic aftercare following surgical amputation, acquired absence of left leg below knee, difficulty walking, and other reduced mobility. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 2.41% | 3.28× |
| 2024 | 1.28% | 1.74× |
| 2025 | 1.96% | 2.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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