Based on record review and interviews with staff, the Physician and Nurse Practitioner (NP), the facility failed to ensure that Nurse Practitioner visits were comprehensive and included a review of the Medication Administration Records (MARs). On [DATE], an emergency room (ED) physician prescribed Lasix (furosemide) 20 milligrams (mg), (diuretic/water pill) daily for 3 days and Prednisone 20 mg, 3 tablets daily for 5 days for dyspnea (shortness of breath), Chronic Obstructive Pulmonary Disease exacerbation (long term lung conditions that cause irreversible damage to the airway), and fluid overload (retention of water and sodium). On [DATE], a nurse entered the Prednisone order into the electronic record but did not activate a 5-day stop date. …
F711
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F711 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F711 finding.
The harm level
How severely F711 is cited
2.7% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J61.0% | K— | L— |
| Actual harm | G101.7% | H— | I— |
| No harm, potential for more than minimal | D38465.8% | E15626.7% | F142.4% |
| No harm, potential for minimal | A— | B132.2% | C10.2% |
In the surveyor’s words
What an F711 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, interview and record review, the facility failed to ensure a thorough medical evaluation of resident's condition, review the appropriateness of the resident's medical treatment, and implement orders for 2 (Resident #3 and Resident #51) of 24 residents reviewed for physician orders and treatment, resulting in resulting in the worsening of Resident #3 and Resident #51's wounds, lack of coordination of care and insufficient treatment for a resident's current condition and needs. …
Based on review of the medical record and staff interviews, the facility failed to ensure physician progress notes were completed at the time of visit. This affected three (#11, #22, and #56) of the three residents reviewed for physician visits. The facility census was 72.Findings include: 1) Review of the medical record for Resident #11 revealed an admission date of 04/09/19. Diagnoses included hemiplegia and hemiparesis following cerebral infarction, type II diabetes mellitus (DM II), and seizures. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #11 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 12. …
Based on interview, medical record review, and facility P&P review, the facility failed to ensure the physician signed the telephone orders for two out of 22 final sampled residents (Residents 6 and 41). * The physician failed to sign Resident 6's telephone orders on a timely manner. * The physician failed to sign Resident 41's telephone orders on a timely manner. These posed the risks for inaccurate treatment for the residents. Findings: Review of the facility's P&P titled Physician Orders and Telephone Orders dated 1/2004 showed the telephone orders shall be signed within five days by the prescribing physician or their extender as permitted by law. 1. Medical record review for Resident 6 was initiated on 6/22/26. …
Co-occurrence
Cited alongside F711
Of the 2025 surveys that cited F711, these tags appeared in the same inspection more often than chance would predict.
- F65724.8% of F711 surveys · 3.2× chance
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F84228.6% of F711 surveys · 3.1× chance
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F65637.6% of F711 surveys · 2.6× chance
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F75524.1% of F711 surveys · 2.5× chance
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F68442.1% of F711 surveys · 2.4× chance
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Cited in the same inspection, not caused by one another.
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