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F686: Provide appropriate pressure ulcer care and prevent new ulcers from developing

F686 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide appropriate pressure ulcer care and prevent new ulcers from developing. It sits in CMS's quality of life and care category.

8,386citations in the CMS files
5,500homes cited at least once
1,774in the 12 months to September 2026
22.4%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 39.4% of F686 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)249 (3.0%)
  • Actual harm (G, H, I)1,632 (19.5%)
  • Potential for more than minimal harm (D, E, F)6,495 (77.5%)
  • Potential for minimal harm (A, B, C)10 (0.1%)

By letter: B 10, D 5,728, E 765, F 2, G 1,596, H 36, J 157, K 92.

What inspectors wrote

Three recent F686 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity DBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to make certain that residents received proper treatment for pressure ulcers/injuries (PU/PI's - injuries to skin and underlying tissue resulting from prolonged pressure on the skin) for two of four residents (Resident R8 and R181).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, July 31, 2026, scope and severity GBased on observation, interview and record review, the facility failed to ensure a resident received timely antibiotic therapy for a wound infection, failed to notify the physician of new wounds and obtain treatment orders, and failed to follow Enhanced Barrier Precautions, complete wound assessments and update wound care plans for two of four (R4 and R6) residents reviewed for pressure sores on the sample list of 20. Failing to ensure R4 received timely antibiotic therapy resulted in R4's pressure sore continuing to deteriorate and R4 experiencing severe pain. [...]

Arc at Hickory Point, Forsyth, IL

Inspectors wrote, July 31, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to assess and complete a daily skin assessments for one of two sampled residents (Resident 2) who was assessed to be at high risk for developing pressure injury (PI-a localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, shear, and/or friction, or a combination of these factors) from 2/11/2026 to 2/16/2026 in accordance with the facility's policy and procedures. These deficient practices may result into Resident 2's worsening of current PI and or developing new PI.

Infinity Care of East Los Angeles, Los Angeles, CA

Most recent F686 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 31, 2026Arc at Hickory PointForsyth, IL GComplaint
July 30, 2026White Settlement Nursing CenterWhite Settlement, TX GStandard
July 30, 2026Golden Acres ManorCarrington, ND GComplaint
July 30, 2026Intercommunity Healthcare & Rehabilitation CenterNorwalk, CA GComplaint
July 29, 2026Novi Lakes Health CampusNovi, MI GComplaint
July 28, 2026Huron Woods Nursing CenterKawkawlin, MI GComplaint
July 28, 2026Belleville Healthcare and Rehabilitation CenterBelleville, KS GComplaint
July 27, 2026Fox Run ManorFindlay, OH GComplaint
July 27, 2026Arcadia Care on the HillSpringfield, IL GComplaint
July 24, 2026Eden Nursing & Rehabilitation CenterBrackenridge, PA GStandard
July 24, 2026Resorts of AugsburgBaltimore, MD GComplaint
July 23, 2026Pleasant Meadows Senior LivingChrisman, IL GComplaint
July 21, 2026Vancrest-Upper ValleyTroy, OH GStandard
July 20, 2026Sanctuary WadsworthWadsworth, OH GStandard
July 20, 2026Emerald Nursing & Rehabilitation MercyOmaha, NE HComplaint
July 18, 2026John J Kane Regional Center-RoPittsburgh, PA KStandard
July 17, 2026Pleasant Valley Healthcare and Rehabilitation CentGarland, TX GComplaint
July 16, 2026Good Samaritan Society TyndallTyndall, SD GStandard
July 16, 2026Maria Joseph Living Care CenterDayton, OH GComplaint
July 16, 2026Skyline Heights Nursing and RehabilitationBillings, MT GComplaint
July 15, 2026Bremerton Trails Post AcuteBremerton, WA GComplaint
July 15, 2026Lebanon North Nursing & RehabLebanon, MO GComplaint
July 14, 2026Care Pavilion Nursing and Rehabilitation CenterPhiladelphia, PA GComplaint
July 14, 2026Heritage Health Care CenterOakwood Village, OH GStandard
July 12, 2026Cheyenne Medical LodgeMesquite, TX GComplaint
July 10, 2026Majestic Care of ClydeClyde, OH GComplaint
July 9, 2026Muskego Health and Rehabilitation CenterMuskego, WI GStandard
July 9, 2026California Nursing & Rehabilitation CenterPalm Springs, CA GComplaint
July 7, 2026Maple Crest Health CenterOmaha, NE GComplaint
July 2, 2026Creve Coeur ManorSaint Louis, MO GComplaint
July 2, 2026Generations at ApplewoodMatteson, IL GComplaint
July 1, 2026Paradigm at SweenySweeny, TX JComplaint
June 30, 2026West Woods of BridgmanBridgman, MI GComplaint
June 29, 2026Focused Care at HumbleHumble, TX KComplaint
June 29, 2026Valle Verde Health FacilitySanta Barbara, CA GComplaint
June 25, 2026Monument Healthcare StonecreekBountiful, UT GStandard
June 25, 2026Carthage Senior CareCarthage, MS GStandard
June 25, 2026Ryze WestChicago, IL GComplaint
June 25, 2026Bella Terra LombardLombard, IL GComplaint
June 24, 2026Autumn Lake Healthcare at GreenfieldMilwaukee, WI KComplaint

Most recent F686 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA D
July 31, 2026Trucare Living Centers-ColumbusColumbus, TX D
July 31, 2026Sunnyview Nursing and Rehabilitation CenterButler, PA D
July 31, 2026Squirrel Hill Wellness and Rehabilitation CenterPittsburgh, PA E
July 31, 2026Arc at Hickory PointForsyth, IL G
July 31, 2026Infinity Care of East Los AngelesLos Angeles, CA D
July 30, 2026White Settlement Nursing CenterWhite Settlement, TX G
July 30, 2026Altercare of Mayfield Village, IncMayfield Village, OH D
July 30, 2026Golden Acres ManorCarrington, ND G
July 30, 2026Kittson HealthcareHallock, MN D
July 30, 2026Olympia Convalescent HospitalLos Angeles, CA E
July 30, 2026Downey Post AcuteDowney, CA E
July 30, 2026Intercommunity Healthcare & Rehabilitation CenterNorwalk, CA G
July 29, 2026Novi Lakes Health CampusNovi, MI G
July 28, 2026Park View HomeWoodville, WI D
July 28, 2026Huron Woods Nursing CenterKawkawlin, MI G
July 28, 2026Belleville Healthcare and Rehabilitation CenterBelleville, KS G
July 28, 2026Inland Valley Care and Rehabilitation CenterPomona, CA E
July 27, 2026Fox Run ManorFindlay, OH G
July 27, 2026Benedictine Health Center InnsbruckNew Brighton, MN D
July 27, 2026Arcadia Care on the HillSpringfield, IL G
July 24, 2026Amarillo Center for Skilled CareAmarillo, TX D
July 24, 2026Terrace Health & Rehab CenterUniontown, PA D
July 24, 2026Sweden Valley ManorCoudersport, PA D
July 24, 2026Eden Nursing & Rehabilitation CenterBrackenridge, PA G

F686 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California1,031
Illinois949
Ohio803
Michigan464
Pennsylvania417
Wisconsin375
Texas362
Indiana284
Missouri281
New York244
Virginia237
Massachusetts206
Minnesota201
Connecticut198
Kansas193
Washington183
New Jersey168
Maryland159
Florida156
Iowa128
Colorado109
Louisiana96
North Carolina89
Oregon88
Oklahoma87
Nebraska76
Rhode Island69
Tennessee66
Arizona54
Mississippi51
Georgia49
West Virginia48
South Dakota47
New Mexico40
Nevada39
Kentucky37
Montana37
South Carolina32
Alabama31
Utah28
Delaware26
North Dakota26
Arkansas22
District of Columbia17
Maine17
Idaho15
New Hampshire15
Hawaii13
Vermont11
Wyoming7
Alaska4
Guam1

By inspection year: 2017 1, 2018 26, 2019 186, 2020 76, 2021 239, 2022 522, 2023 1,391, 2024 2,528, 2025 2,130, 2026 1,287.

Common questions

What is F686 in a nursing home inspection?
F686 is the federal requirement to "provide appropriate pressure ulcer care and prevent new ulcers from developing". CMS files it under quality of life and care. A home cited under F686 did not meet that requirement at the inspection.
How often is F686 cited?
The CMS files as of September 1, 2026 list 8,386 F686 citations at 5,500 nursing homes, 1,774 of them in the 12 months to that date. 22.4% were rated as actual harm or immediate jeopardy.
Is a F686 citation serious?
It depends on the letter. Most F686 citations (77.5%) were rated as potential for more than minimal harm, D to F. 249 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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