Based on medical record review, staff interview, review of the facility's fall investigation, and review of the facility policy, the facility failed to ensure a resident received timely radiology services for a fractured left femur. This resulted in Actual Harm when Resident #112, who after experiencing an unwitnessed fall, had a delay of x-ray services and Resident #112 being admitted to the hospital for surgical repair of the fractured left femur. Resident #112 had a physician order for an x-ray and the x-ray was not obtained until two days after the fall. After the x-ray was obtained, the results of an acute, displaced left femoral fracture was not reported to the physician until three days after the fall. …
F777 citations in Ohio
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F777 more often than its own record predicts
1.25 times the share F777 takes of citations nationally.
Of every deficiency written in Ohio in 2025, this is the portion that was F777.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F777 findings written in Ohio, 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 medical record review and staff interviews the facility failed to timely obtain imaging and failed to timely notify the provider of imaging results. This affected one (#78) of one resident reviewed for imaging. The facility census was 47.Findings include:Review of the medical record for Resident #78 revealed she was admitted on [DATE] with diagnoses including active primary progressive multiple sclerosis, pleural effusion, type two diabetes mellitus, vitamin D deficiency, hyperlipidemia, depression, hypertensive heart disease with heart failure, and history of cerebral infarction. The resident was discharged on 08/08/26 at 7:40 P.M. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.02% | 1.05× |
| 2024 | 0.03% | 1.12× |
| 2025 | 0.03% | 1.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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