of F745 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025189
Every F745 citation surveyors wrote nationally that year.
Facilities cited184
Distinct nursing homes with at least one F745 finding.
The harm level
How severely F745 is cited
4.4% 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
J60.7%
K40.5%
L—
Actual harm
G232.8%
H30.4%
I—
No harm, potential for more than minimal
D65980.7%
E11614.2%
F50.6%
No harm, potential for minimal
A—
B10.1%
C—
Every recorded F745 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F745 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, isolatedOctober 1, 2025
Based on interview and record review, the facility did not ensure that 5 of 15 residents reviewed (R6, R14, R15, R12 and R11) received medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.
* R6 has had 13 episodes of aggressive behaviors toward staff and other residents since 7/26/24, On 7/17/25, R6 punched another resident in the mouth. On 8/25/25, R6 hit R5 on the head with R6's cane, resulting in a traumatic brain injury for R5. The facility did not identify and seek ways to support R6's psychosocial and behavioral needs by reevaluating and assessing R6's behaviors. …
Based on observations, interviews, record review, and a review of the facility policy titled Discharge Planning, the facility failed to ensure that medically related social services were provided to one of 39 sampled residents (R) (R133) related to arranging for needed mental and psychosocial counseling services after an allegation of staff-to-resident sexual assault. Psychosocial harm was identified to have occurred on 04/04/2026, using the reasonable person concept, when R133 expressed an allegation of sexual assault by a staff member, as evidenced by R133 being tearful when recalling the alleged sexual assault and expressing feelings that she was not being heard or believed. …
D · No harm, potential for more than minimal, isolatedSeptember 2, 2026
Based on observation, interview, and record review, the facility failed to ensure timely podiatry service was provided for one of twenty five sampled residents (Resident 48) for a census of 121 to meet the resident's toenail care needs. This failure resulted in Resident 48's toenails with long, jagged, snagged on her socks and sheets and not attaining her practicable physical, mental and psychosocial well-being. Findings: During a review of Resident 48's admission Record (AR), the AR indicated she was admitted with diagnoses which included diabetes mellitus (DM, high blood sugar levels), obesity, peripheral vascular disease (PAD, slow and progressive circulation disorder) and lymphedema (swelling condition when fluid buildup in the soft tissues, usually in an arm of leg).During a review of… …
B · No harm, potential for minimal, patternMarch 5, 2026
Based on record review and interviews, the facility failed to evaluate resources related to decision-making for 1 sampled resident (Resident 1) with cognitive impairment. The facility identified a census of 42. A record review of Resident 1's face sheet revealed that Resident 1 was admitted on [DATE] and had diagnoses of chronic obstructive pulmonary disease (a progressive lung disease that restricts breathing, often caused by smoking), Type 2 diabetes mellitus (a metabolic disorder when the body cannot regulate levels of sugar in the blood), schizophrenia (a mental disorder that affects how a person thinks, feels, and behaves), bipolar disorder (a mental illness with episodes of extreme mood changes), depression, and anxiety. …
Ensure services provided by the nursing facility meet professional standards of quality.
Cited in the same inspection, not caused by one another.
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