of F777 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202527
Every F777 citation surveyors wrote nationally that year.
Facilities cited27
Distinct nursing homes with at least one F777 finding.
The harm level
How severely F777 is cited
16.7% 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
J54.4%
K43.5%
L—
Actual harm
G108.8%
H—
I—
No harm, potential for more than minimal
D9078.9%
E54.4%
F—
No harm, potential for minimal
A—
B—
C—
Every recorded F777 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F777 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.
K · Immediate jeopardy, patternApril 24, 2025
Based on observation, interview, and record review, the facility failed to promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders for 1 (Resident #1) of 4 residents reviewed for quality of care.
LVN A failed to read an abnormal x-ray result, resulting in Resident #1 experiencing pain with a hip fracture for 2 days before Resident #1 was hospitalized for evaluation.
A past noncompliance Immediate Jeopardy was determined to have existed from 4/8/2025 to 4/10/2025. …
Based on interview and record review, the facility failed to promptly notify the ordering physician, results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner for 1 of 7 residents (Resident #8) reviewed for diagnostic services. The facility failed to ensure LVN K notified the physician/ NP of the Resident #8's femur fracture using the facility's approved notification methods leaving Resident #8 with an undiagnosed/untreated femur (longest bone in th body that extends from the hip to the knee) fracture and in pain documented up to 5 out of 10 for 18 hours before she was transported to the hospital on [DATE]. …
D · No harm, potential for more than minimal, isolatedAugust 21, 2026
Based on interview and record review the facility failed to promptly follow up on a STAT (immediate) x-ray (medical imagining of the body) results and to promptly notify the ordering provider of the STAT x-ray results for one (Resident 1) of one resident reviewed for radiology services. This failure resulted in a delay in the identification of a broken bone, delayed treatment and diminished quality of life.Findings included .<Resident 1>According to the 07/28/2026 admission Minimum Data Set (MDS-An assessment tool) Resident 1 had diagnoses that included adult failure to thrive, history of falls and memory impairment.Review of a 08/07/2026 nursing progress note showed a STAT x-ray was ordered for Resident 1 due to left leg pain, the x-ray order was processed and sent to the imagining… …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction