F692 — Nutrition / Hydration Status Maintenance
Failure to ensure residents maintain acceptable parameters of nutritional status, including body weight and protein levels, unless clinically unavoidable, and receive sufficient fluid intake.
Reg cite · 42 CFR 483.25(g)
73 surveys in corpus
20 states
What surveyors look for
- Weights taken weekly the first 4 weeks after admission, monthly thereafter, with trend analysis
- Significant weight loss (5% in 30 days, 10% in 6 months) triggers RD evaluation within 7 days
- I&O recorded for residents on intake monitoring, with appropriate intervention when intake <75%
- Adaptive equipment available for residents with functional limitations
Common gotchas
- Weights skipped on weekends without follow-up the next business day
- Significant weight loss with no RD note, no diet change, no MD notification
- Meal intake percentages charted at exactly 50% or 75% across multiple meals (pattern of estimating)
- Hydration concerns with no fluid-intake order or strategy
Real survey examples
From CMS-published 2567s in our corpus. Resident identifiers redacted.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide enough food/fluids to maintain a resident's health.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review, staff and resident interviews, and observation of current facility practice, the facility
failed to ensure nutritional status was assessed and managed in accordance with facility policy for one
resident (#60). The deficient practice could result in a decline in nutritional status being missed and
untreated for other residents.
Resident was admitted t…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Review of the facility policy titled Weight Monitoring Policy indicates that newly admitted residents should
have weights checked weekly for 4 weeks. The policy states residents with weight loss should have weekly
weights completed. This policy also indicates that all other residents should have monthly weights obtained.
32
13
035016
[date]
Department of Health & Human Services
Centers for Medicare & Medicaid Services
Printed:
Form Approved OMB
No. 0938-0391
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
N…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide enough food/fluids to maintain a resident's health.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and interviews, the facility failed to implement a dietary recommendation for one (Resident) of one sampled resident reviewed for dietary recommendations.
The findings are:
A review of Physician Orders for Resident revealed the resident was admitted to the facility with
diagnoses which included metabolic encephalopathy, atherosclerotic heart disease, multiple …
Level of Harm - Actual harm
Residents Affected - Few
Provide enough food/fluids to maintain a resident's health.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, record review and interviews, the facility failed to two (#87 and #92) of three residents
reviewed received the care and services necessary to meet their nutritional needs and maintain their
highest physical well-being level out of 34 sample residents.
Resident was admitted on [DATE]. Her admission weight was 113.8 pounds (lbs). The resident
maintained a weight between 113 lbs and 118 lbs …
Level of Harm - Actual harm
Residents Affected - Few
A. Resident status
Resident, age [AGE] years old, was admitted on [DATE]. According to the March 2024 computerized
physician orders (CPO), diagnoses included prediabetes, osteoporosis, abnormal weight loss, major
depressive order, vascular dementia with behavioral disturbance, atherosclerosis of native artery, chronic
obstructive pulmonary disease and gastro-esophageal reflux disease (GERD).
The [date] minimum data set (MDS) assessment documented the resident had severe cognitive
impairment with a brief interview for mental status (BIMS) sco…
Accepted POC examples
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