F791 in Ohio. Pick another state for the same tag.
Against expectation — 2025
Ohio cites F791 more often than its own record predicts
Versus expected share1.63×
1.63 times the share F791 takes of citations nationally.
Share of Ohio citations0.45%
Of every deficiency written in Ohio in 2025, this is the portion that was F791.
Ohio0.45%
National0.28%
Share of all citations that were F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F791 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.
J · Immediate jeopardy, isolatedJune 27, 2023
Based on medical record review, review of hospital records, review of dental records, staff interview, and facility policy review, the facility failed to ensure one resident (Resident #72) was provided dental care in a timely manner. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm and/or medical emergency on 03/30/23 when Resident #72 was readmitted to the facility from the hospital where Resident #72 had been treated with three antibiotics for sepsis (the body's extreme response to an infection) caused by several abscessed teeth. Resident #72 was discharged from the hospital with an order to follow-up with a dentist as soon as possible (ASAP) for tooth extractions. …
Based on record review, observations, staff interviews, and policy review, the facility failed to ensure Resident #19 received prompt dental care services. This resulted in Actual Harm when Resident #19, who had persistent dental pain, developed a dental infection and had significant weight loss. On 06/19/25 at 6:50 P.M., Resident #19, who was nonverbal, screamed loudly for most of the shift due to dental pain and was unable to be redirected. On 06/20/25, Resident #19 ' s oral intake decreased related to ongoing dental pain. Resident #19 was seen by the nursing staff on 06/25/25 for continued behaviors including a decrease in oral intake, biting on her fingers, and was suspected of having a dental infection. …
D · No harm, potential for more than minimal, isolatedAugust 20, 2026
Based on medical record review, resident interview, staff interviews, and policy review, the facility failed to ensure residents received dental services as recommended. This affected one (Resident #4) of four residents sampled for dental services. The facility census was 101.Findings include:Review of the medical record revealed Resident #4 was admitted to the facility on [DATE]. Diagnoses included schizoaffective disorder, bipolar type, stage III chronic kidney disease, Type II diabetes, and unspecified seizures.Review of the care plan dated 05/27/21 revealed Resident #4 had the potential for complications related to missing teeth and staff assistance for oral care setup. …
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