Based on interview and record review, it was determined the facility failed to provide timely laboratory services to meet the needs of its residents for 1 of 1 resident reviewed for laboratory services. (Resident identifier is #2.) Findings include: Interview on 6/19/25 at 7:55 a.m. with Staff CC (Licensed Practical Nurse) revealed that Resident #2 had a physician's order to obtain a UA (urinalysis) that had not been completed timely. Review on 6/19/25 of Resident #2's physician's orders revealed an order written on 5/6/25, UA with culture and sensitivity one time only for delusions Review on 6/19/25 of Resident #2's May 2025's Treatment Administration Record revealed that the urine had been obtained on 5/7/25. …
F770 citations in New Hampshire
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Hampshire cites F770 more often than its own record predicts
3.47 times the share F770 takes of citations nationally.
Of every deficiency written in New Hampshire in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Hampshire surveyors wrote
F770 findings written in New Hampshire, 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 observation, record review and interview, the facility failed to have a Clinical Laboratory Improvement Admendments of 1988 (CLIA) Certificate of Waiver to perform its own laboratory testing in accordance with requirements for laboratories specified in part 493 of this chapter. Findings include: Observation on [DATE] at approximately 11:30 a.m. on the Evergreen unit revealed a point of care testing device to perform [MEDICATION NAME]/International Normalized Ratio (PT/INR) testing stored on the medication cart. Interview on [DATE] at approximately 11:30 a.m. with Staff H (Registered Nurse) confirmed that the facility performs PT/INR testing. …
What else New Hampshire surveyors cite →
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