Based on record review and interviews during the abbreviated survey (NY00309249) the facility did not ensure the physician reviewed the total program of care, including medications and treatments, for one (1) of four (4) residents (Resident #1) reviewed. Specifically, Resident #1's hospital discharge orders included routine short-acting insulin and sliding scale (the amount of insulin administered was based on the results of blood glucose finger sticks) short-acting insulin. The resident did not have admission orders for routine short-acting insulin and sliding scale short-acting insulin as recommended. Subsequently, Resident #1 was hospitalized for hyperosmolar hyperglycemic state (severely high blood glucose levels with severe dehydration and confusion). …
F711 citations in New York
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
New York cites F711 more often than its own record predicts
4.78 times the share F711 takes of citations nationally.
Of every deficiency written in New York 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 New York surveyors wrote
F711 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 review, and interviews during survey, the facility did not ensure that the physician reviewed the resident's total program of care, including medications and treatments, at each visit. This was evident in one out of four residents sampled. Specifically, Resident #1 was on Warfarin (blood thinner), and Medical Doctor #1 ordered laboratory tests on 03/10/2026 and 03/18/2026 for Prothrombin Time (measures how long your blood takes to clot) and International Normalized Ratio level (used to monitor patients taking blood-thinning medications) and several other laboratory tests. Medical Doctor #1 failed to follow up on several laboratory tests they ordered. …
Based on interview and record review conducted during the Standard survey completed on 10/10/19, the physician must sign and dated all orders, with the exception of influenza and pneumococcal vaccines during visits. Three (Residents #2, #23 and #24) of fifteen residents reviewed for physician had issues. Specifically, the facility did not ensure the physician or non-physician provider signed and dated all orders during visits. The finding is: The policy and procedure (P&P) titled Medication and Treatment Orders with a revision date of 4/2014 documented drug and biological orders shall be written, dated, and signed by the person lawfully authorized to give such an order. The signing of the orders shall be by signature or a personal computer key. Signature stamps may not be used. 1. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 3.93× |
| 2024 | 0.60% | 4.90× |
| 2025 | 0.59% | 4.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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