of F775 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202522
Every F775 citation surveyors wrote nationally that year.
Facilities cited22
Distinct nursing homes with at least one F775 finding.
The harm level
How severely F775 is cited
0.0% 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
G—
H—
I—
No harm, potential for more than minimal
D6181.3%
E1418.7%
F—
No harm, potential for minimal
A—
B—
C—
Every recorded F775 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F775 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, isolatedApril 20, 2018
Based on interview, record review, and facility policy review, it was determined the facility failed to have laboratory reports filed in three (3) of thirty-six (36) sampled residents' clinical records (Residents #51, #23, and #72).
On 02/12/18, Resident #51 had orders for a Urinalysis and Culture and Sensitivity (C&S); however, the facility failed to ensure the C & S results were obtained to file in the chart. Resident #51 was found on 02/28/18 (approximately two {2} weeks later), with a temperature of 95 degrees Fahrenheit, unresponsive, and his/her eyes were dilated. The resident was hospitalized with [DIAGNOSES REDACTED]. …
D · No harm, potential for more than minimal, isolatedJuly 31, 2026
Based on interview and document review the facility failed to ensure laboratory reports were filed in the clinical record for 1 of 1 resident (R4) reviewed for edema monitoring.Findings include:R4's face sheet identified diagnoses of heart failure and diabetes.R4's quarterly Minimum Data Set (MDS) dated [DATE], identified R4 had moderate cognitive impairment, no behaviors, no rejection of cares, and needed partial/moderate assistance for transfer. R4's progress note dated 7/6/26 at 6:22 a.m., identified R4 had concerns about her lungs filling up with fluid again and requested to see a doctor. R4's nurse practitioner note dated 7/6/26, identified R4 had been seen for evaluation of shortness of breath. …
C · No harm, potential for minimal, widespreadJanuary 29, 2021
Based on medical record review and staff interview, it was determined that the facility failed to have laboratory reports in the medical record when a resident was tested for COVID-19. This was evident for 4 (#2, #3, #4, #6) of 6 residents reviewed during the COVID-19 Focused Infection Control Survey.
The findings include:
On 1/26/21 at 10:55 AM, during an interview, the Nursing Home Administrator (NHA) stated that the facility's current outbreak of COVID-19 started in December 2020. NHA stated that residents are tested for [MEDICAL CONDITION] at least once a week with a PCR ((polymerase chain reaction) test which is sent to a lab. …
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