Based on surveyor observation, record review, and staff interview, the facility failed to ensure that a resident receives timely and appropriate pain and symptom management consistent with professional standards of practice, for end-of life-care including the prompt administration of physician-ordered medications for pain and anxiety, for 1 of 2 residents reviewed who were receiving hospice services, Resident ID #1. This failure resulted in the resident experiencing unmanaged pain, terminal agitation, and psychosocial distress during his/her final hours of life.Findings are as follows:According to the American Nurses Association (2018) Position Statement titled, The Ethical Responsibility to Manage Pain and the Suffering It Causes, nurses have an ethical responsibility to relieve pain and… …
F697 citations in Rhode Island
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
Rhode Island cites F697 less often than its own record predicts
0.67 times the national share — cited less often here than elsewhere.
Of every deficiency written in Rhode Island 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 Rhode Island surveyors wrote
F697 findings written in Rhode Island, 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 clinical record review, resident and staff interview, the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice for 1 of 2 residents reviewed for pain, Resident ID #17. Findings are as follows:Review of an undated facility policy titled Administering Medications states in part, Medication administration times are determined by resident need and benefit, not staff convenience.Record review revealed that Resident ID #17 was admitted to the facility in April of 2026 with diagnoses including, but not limited to, migraines and chronic pain.Review of a care plan dated 4/20/2026 revealed a goal for the resident to verbalize adequate pain relief with an intervention including, but not limited… …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.57% | 0.78× |
| 2024 | 0.44% | 0.60× |
| 2025 | 0.52% | 0.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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