Based on interview, record review and document review, the facility failed to ensure the attending physician conducted an independent, thorough review of a hospital discharge summary for a resident admitted with Type one diabetes mellitus for 1 of 40 sampled residents (Resident 161). The deficient practice resulted in the resident experiencing diabetic-related complications which required rehospitalization. Findings include:Resident 161 (R161) was admitted on [DATE], with diagnoses including type one diabetes mellitus, and encounter for surgical amputation of right toe due to gangrene.The hospital Discharge summary dated [DATE], revealed R161 underwent amputation of the right third toe on [DATE]. …
F711 citations in Nevada
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.
Against expectation — 2025
Nevada cites F711 more often than its own record predicts
1.33 times the share F711 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F711.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F711 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 interview, clinical record review, and document review, the facility failed to ensure all of a resident's medications were signed and dated during provider visits for 1 of 24 sampled residents (Resident #421). This deficient practice had the potential to result in medication errors, compromising the resident's health and safety. Findings include: Resident #421 Resident #421 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including bipolar disorder, depression, anxiety disorder unspecified, and unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Resident #421's physician's orders dated 06/18/2025, documented the following: -Acetaminophen tablet 325 milligram (mg). …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 1.75× |
| 2025 | 0.16% | 1.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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