Based on interview and record review, the facility failed to provide or obtain radiology and other diagnostic services to meet the needs of its residents for 1 (Resident #1) of 3 residents reviewed for radiology services.The facility failed to obtain the x-ray and results for Resident #1's leg and knee in a timely manner, resulting in a delay to diagnoses of Resident #1's right femur and right knee. The STAT x-ray should be completed as soon as possible. On 04/11/26 at 2:14 PM an Immediate Jeopardy (IJ) was identified. …
F776
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F776 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F776 finding.
The harm level
How severely F776 is cited
7.8% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J42.1% | K21.0% | L— |
| Actual harm | G94.7% | H— | I— |
| No harm, potential for more than minimal | D17289.1% | E52.6% | F10.5% |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F776 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.
Based on staff interview, clinical record review, facility document review and facility policy review, the facility staff failed to provide or obtain radiology services to meet the needs of its residents for 1 of 7 residents in the survey sample, Resident #5. This failure resulted in a delay in treatment for a left hip fracture sustained after a fall thus constituting harm.The findings included:A facility policy entitled, Radiology and other Diagnostic Services and Reporting, dated 11/07/2025, read in part, The facility must provide or obtain radiology and other diagnostic services when ordered by a physician, physician assistant, nurse practitioner or clinical nurse specialist in accordance with state law. 1. …
Based on clinical record reviews and staff interviews, it was determined that the facility failed to obtain diagnostic studies as recommended by a rheumatology consultation for one of 5 residents reviewed (Resident 3).Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 3, dated August 10, 2026, revealed that the resident was cognitively intact, required staff assistance with daily care needs, and had diagnoses that included multiple sclerosis. A rheumatology consult, dated June 29, 2026, recommended a DXA bone density scan (test that measures the strength and mineral content of bones) be obtained. There was no documented evidence that Resident 3 had a DXA bone density scan after June 29, 2026. …
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