Based on record review and interviews conducted during survey, the facility failed to obtain physician ordered laboratory tests to meet the needs of its residents for one (1) (Resident # 118) of three (3) residents reviewed. Specifically, the laboratory test ordered for Resident #118 on [DATE] and [DATE] were not completed as ordered. The laboratory test was not completed until it was ordered for a third time on [DATE], which resulted in critical levels requiring hospitalization for a blood transfusion. This resulted in actual physical harm for Resident #118 that was not Immediate Jeopardy. …
F770 citations in New York
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 York cites F770 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 York surveyors wrote
F770 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 the abbreviated (iQIES reference number 2610929) survey the facility did not ensure laboratory services were obtained to meet the needs of its residents for one (1) of three (3) residents (Resident #1) reviewed. Specifically, Resident #1 had physician orders for laboratory tests to check their vancomycin (antibiotic) trough level (blood test used to monitor the antibiotic's effectiveness and to minimize toxicity) and the laboratory tests were not performed timely or accurately. Findings include:The facility policy Vancomycin Management, dated 01/2025, documented renal function should be monitored at least twice weekly or more frequently based on physician orders. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.71× |
| 2024 | 0.11% | 0.50× |
| 2025 | 0.11% | 0.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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