Based on observation, interview and record review during an abbreviated and Partial Extended survey (Complaint # NY 307) the facility failed to ensure that Resident #1's medical care was supervised by a Primary Care Physician (PMD) who was responsible for managing resident's medical care. Specifically, Resident #1's PMD was not aware of resident's failure of weaning from a ventilator to Tracheolife and recommendations provided by the Pulmonologist to place Resident #1 back on the ventilator on [DATE]. Resident #1 was found unresponsive without a pulse and subsequently died in the hospital. Upon interview the PMD stated that the Respiratory Therapists (RT) did not need PMD's approval in writing the physician's orders [REDACTED]. …
F710 citations in New York
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F710 more often than its own record predicts
4.35 times the share F710 takes of citations nationally.
Of every deficiency written in New York in 2025, this is the portion that was F710.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F710 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.
Based on record reviews and interviews during a survey, the facility failed to ensure that medical care for each resident was effectively supervised by a physician. This was evident for one (1) out of four (4) residents (Resident #1) sampled. Specifically, 1) Resident #1 developed Moisture Associated Skin Damage (erosion of the skin caused by prolonged exposure to urine, stool, sweat, or wound drainage) to the sacrum (a triangular, shield-shaped bone at the base of the spine) and bilateral buttocks on 08/12/2025 and treatment was ordered on 08/14/2025 to be completed for 30 days. A Surgical Note by Physician Assistant #1 dated 12/17/2025 indicated wound deterioration. …
Based on record review and interviews, the facility failed to ensure the medical care of each resident was supervised by a physician and that orders for each resident's immediate care and needs were provided throughout the resident's stay. This was identified for one (Resident #2) of two residents reviewed for Quality of Care/Treatment-Drugs and Medication. Specifically, Resident #2 had ongoing physician orders for Morphine Sulfate Oral Solution (a narcotic drug used for pain control), ordered for a 30-day interval each time. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.57% | 6.20× |
| 2024 | 0.28% | 3.45× |
| 2025 | 0.29% | 4.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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