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F686 Nursing Home Citation: Pressure Ulcer (Bedsore) Care

8,386
Citation count
5,500
Cited homes
1,881
Harm or danger found
249
Immediate danger

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

A nursing home that does not meet federal rules on pressure ulcer (bedsore) care is cited by inspectors as F686. It is filed under quality of life and care by CMS.

At 5,500 homes, inspectors cited F686 8,386 times, according to data CMS now releases. Of those citations, 1,881 found that residents were harmed or faced immediate danger.

Read more on bedsores and when they suggest neglect is involved.

Was a loved one hurt in a home that was cited for this?

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F686 Citations by Seriousness

What the inspectors foundCitations
Minimal risk to residents10
Risk of harm, no one found hurt6,495
Residents were harmed1,632
Immediate danger to residents249

F686: States With the Most Citations

StateCitations
California1,031
Illinois949
Ohio803
Michigan464
Pennsylvania417

F686 Citations at the Harm Level in Flagged Homes

These listings cover homes that CMS marks for abuse or as Special Focus homes, with an F686 citation that found residents harmed or in danger.

HomeStarsCitationsHarm or dangerFines
Nexus Pavilion at Belleville, BellevilleSpecial Focus candidate · Abuse icon1 of 57928$821,641
Bria of Elmwood Park, Elmwood ParkSpecial Focus candidate · Abuse icon1 of 512127$769,451
Provo Rehabilitation and Nursing, ProvoSpecial Focus candidate · Abuse icon1 of 57527$73,003
Waterview Heights Rehabilitation and Nursing Center, RochesterSpecial Focus FacilityNot rated (Special Focus)8925$960,884
Nexus at Alton, AltonAbuse icon1 of 59922$392,683
Woodway Nursing & Rehab, HoustonSpecial Focus FacilityNot rated (Special Focus)5520$295,783
Metropolis Rehab & HCC, MetropolisSpecial Focus candidate · Abuse icon1 of 56820$211,331
Avantara Norton, Sioux FallsSpecial Focus Facility · Abuse iconNot rated (Special Focus)7519$312,233
Bria of Woodriver, Wood RiverSpecial Focus candidate · Abuse icon1 of 56518$468,820
Salyersville Nursing and Rehabilitation Center, SalyersvilleSpecial Focus candidate · Abuse icon1 of 54018$447,485
Springfield Health & Rehab, SpringfieldSpecial Focus Facility · Abuse iconNot rated (Special Focus)7918$354,247
Coral Rehabilitation and Nursing of Austin, AustinSpecial Focus Facility · Abuse iconNot rated (Special Focus)8918$307,704
Goldwater Care Peoria Heights, Peoria HeightsSpecial Focus candidate1 of 511716$703,747
La Bella of Woodstock, WoodstockAbuse icon1 of 59116$650,554
Pleasant Meadows Senior Living, ChrismanSpecial Focus candidate · Abuse icon1 of 59216$391,159
Rio Hondo Subacute & Nursing Center, MontebelloSpecial Focus FacilityNot rated (Special Focus)19816$368,943
Afton Oaks Nursing and Rehabilitation Center, HoustonSpecial Focus candidate · Abuse icon1 of 54316$71,011
La Bella of Cahokia, CahokiaAbuse icon1 of 56315$714,107
Morgan Park Healthcare, ChicagoSpecial Focus candidate · Abuse icon2 of 512715$516,750
Evercare at University, EdwardsvilleAbuse icon1 of 57115$399,548
La Bella of Rochelle, RochelleAbuse icon1 of 59315$308,891
Hillside Health Care Center, Saint LouisSpecial Focus Facility · Abuse iconNot rated (Special Focus)10215$168,680
Alden Lakeland Rehab & HCC, ChicagoAbuse icon1 of 510014$579,156
Landmark of Richton Park Rehab & Nsg Center, Richton ParkAbuse icon1 of 57014$548,244
Wilmington Nursing & Rehabilitation Center, WilmingtonSpecial Focus Facility · Abuse iconNot rated (Special Focus)10514$424,128

These counts come from the CMS health deficiencies file, updated monthly.