of F713 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202514
Every F713 citation surveyors wrote nationally that year.
Facilities cited14
Distinct nursing homes with at least one F713 finding.
The harm level
How severely F713 is cited
3.2% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G13.2%
H—
I—
No harm, potential for more than minimal
D2683.9%
E26.5%
F26.5%
No harm, potential for minimal
A—
B—
C—
Every recorded F713 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F713 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.
J · Immediate jeopardy, isolatedJuly 27, 2018
Based on interview, record review and facility policy review, it was determined the facility failed to have an effective system in place to provide for the provision of physician services for one (1) of three (3) sampled residents (Resident #1).
On [DATE] at approximately 11:,[DATE]:25 PM, Resident #1 was found with no respirations or pulse and Licensed Practical Nurse (LPN) #1 notified the Physician by e-mail (electronic message) as there was no telephone number available to call the Physician in an emergency. The Physician did not respond until 7:30 AM on [DATE] {(eight) 8 hours later}. …
Based on observation, clinical record review, staff interview, and facility policy/procedure review at the time of the investigation, the facility failed to intervene timely for a resident who needed had a change in condition following a fall on 2/3/25 for 1 of 4 residents reviewed (Resident #2). At Resident #2's admission in December 2024, he came to the facility with a repaired fractured right hip due to a fall at home. Due to his cognition, he frequently forgot he previously had a hip fracture and would frequently transfer by himself. On 2/3/25, he had an unwitnessed fall. When the nurse assessed him, he reported pain to his right hip. After the nurse's assessment, 2 Certified Nurse Aides (CNAs) assisted Resident #2 from the floor and back into bed. …
D · No harm, potential for more than minimal, isolatedJuly 9, 2026
This citation pertains to intake 3051101.Based on interview and record review, the facility failed to ensure emergency Physician services were provided in a timely manner for one resident (R101) of three residents reviewed for a change of condition.Findings include:On 7/9/2026 at 8:46 AM, Family Member C was interviewed and said that R101 had a fall with head injury on 4/11/2026 at the facility and wasn't sent to hospital until 10 hours later once a doctor responded to the nurse's call.Record review of R101's Progress note dated 4/10/2026 at 23:57 revealed, Resident was observed sitting on the floor in her room and bleeding from the skin tear she sustained from falling at her left eyebrow. …
B · No harm, potential for minimal, patternOctober 29, 2018
Based on surveyor review of the clinical records and interview of facility staff, it was determined that the facility staff failed to arrange physician services for a resident. This finding was evident for 1 (#48) of 32 residents selected for review during the survey. (#48) The findings include:
This finding was identified during the investigation of a facility reported incident provided during the survey which is unrelated to the incident. The findings include:
On 10-25-18, review of the nursing note dated 08-17-18 revealed resident #48 was agitated and verbally aggressive towards the other residents on the unit. A nurse practitioner ordered the resident transferred to an emergency room (ER) for further evaluation. …
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