of F773 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025142
Every F773 citation surveyors wrote nationally that year.
Facilities cited141
Distinct nursing homes with at least one F773 finding.
The harm level
How severely F773 is cited
4.1% 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
J71.3%
K50.9%
L10.2%
Actual harm
G81.5%
H10.2%
I—
No harm, potential for more than minimal
D48990.6%
E275.0%
F—
No harm, potential for minimal
A—
B10.2%
C10.2%
Every recorded F773 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F773 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, isolatedMarch 12, 2026
Based on interviews and record reviews, the facility failed to ensure laboratory orders were entered properly in the electronic medical record and electronic laboratory (lab) portal, for four (#7, #1, #8, #9) out of six residents sampled.Resident #7's labs were not completed as ordered and Resident #7 suffered a cardiac arrest This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and/or death to residents and resulted in the determination of Immediate Jeopardy on [DATE]. The findings of Immediate Jeopardy were determined to be removed on [DATE] and the scope and severity was reduced to a D after verification of removal of immediate jeopardy. …
Based on interview and record review the facility failed to promptly notify the physician or physician's representative when laboratory results fell outside of the clinical reference range in accordance with facility policies and procedures for 1 (Resident #1) of 6 residents reviewed for lab services. The facility failure to relay the test results from Resident #1 to the physician as per facility Lab Monitoring & Lab Orders Policies and Procedures. The failure placed residents at risk of delays in receiving the necessary interventions to treat their medical condition. Findings included: Record review of Resident #1's admission record, dated 02/10/2026, revealed admission on [DATE], to the facility. …
D · No harm, potential for more than minimal, isolatedAugust 24, 2026
This citation pertains to intake: 3137447.Based on interviews and record reviews the facility failed to obtain laboratory services as ordered by the Physician for one R300 of two residents reviewed for hospitalization. Findings include:A review of a complaint submitted to the State Agency (SA) reported neglect regarding the care provided to R300.A review of the medical record revealed R300 admitted to the facility on [DATE] with diagnoses that included: cerebral infarction (stroke) due to thrombosis (blood clot), hemiplegia (paralysis) and hemiparesis (weakness) following a cerebral infarction, chronic kidney disease, tracheostomy (surgical opening to the neck to provide an alternative airway) and gastrostomy (surgical opening through the abdominal wall to insert a feeding tube) status. …
B · No harm, potential for minimal, patternJuly 29, 2025
Based on interview, medical record review, and facility P&P review, the facility failed to provide the laboratory services for one of five final sampled residents (Resident 71) reviewed for unnecessary medication. The facility failed to schedule the laboratory testing as ordered by the physician for Resident 71. This failure had the potential for Resident 71's laboratory test to be missed and adversely affect the resident's physical health and well-being. Findings: Review of the facility's P&P titled Lab Procedure revised 5/2007 showed the physician ordered labs will be handled in a proficient manner to ensure timeliness, accuracy, and proper follow-up. When receiving an order for monthly, quarterly, bi-annually, or annual lab, complete the standing order change form. …
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Cited in the same inspection, not caused by one another.
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