of F790 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025130
Every F790 citation surveyors wrote nationally that year.
Facilities cited130
Distinct nursing homes with at least one F790 finding.
The harm level
How severely F790 is cited
1.6% 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
G81.4%
H10.2%
I—
No harm, potential for more than minimal
D49589.0%
E488.6%
F30.5%
No harm, potential for minimal
A—
B—
C10.2%
Every recorded F790 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F790 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.
G · Actual harm, isolatedAugust 4, 2026
Based on record review, staff and resident interviews, observation and policy review, the facility failed to ensure resident dental appointments were scheduled timely to relieve dental pain. This resulted in Actual Harm on 03/03/26 when Resident #75 had three root tips exposed and extraction was recommended. No dental appointment was scheduled for over four months and Resident #75's teeth continued to deteriorate to class three fractures (a serious dental emergency where the break goes through the outer enamel and middle dentin layers to expose the soft nerve center). Resident #75 complained of oral pain rating it a 10 on a one to ten scale. This affected one (Resident #75) out of two reviewed for dental. …
D · No harm, potential for more than minimal, isolatedAugust 14, 2026
Based on observation, interview, and record review, the facility failed to follow-up on a treatment recommendation by dental provider on 4/27/2027 for surgical extraction of teeth with full mouth upper and full lower dentures for one of two sampled residents (Resident 12) investigated under nutrition care area. This failure had the potential to result in inability to chew food efficiently and further weight loss for Resident 12. Findings During a review of Resident 12's Face Sheet (the front page of the chart that contains a summary of basic information about the resident), the Face Sheet indicated the facility admitted Resident 12 to the facility on [DATE] with diagnosis that included diabetes mellitus (DM-a disorder characterized by difficulty in blood sugar control and poor wound… …
C · No harm, potential for minimal, widespreadSeptember 25, 2024
Based on interviews with administrator (employee #3) and review of facility policies and procedures, it was determined that facility failed to determine if they are going to have a relationship with any dental services in obtaining routine and 24-hour emergency dental care (by contract) in order to provide those services at the facility.
Findings include:
1. Facility administrator (employee #3) was interview on 09/25/2024 at 1:15 PM and it was requested information to him in relation of a dental services as an option to be provided by their facility.
2. …
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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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