Top Ten Citations Part Three – Why Facilities Get Cited for F684 and F761

By Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA - December 17, 2019

A few months ago, we provided members with a list of the top ten federal deficiencies since January of 2019. Since then, articles have delved deeper into the top four citations. This month, we will examine the number five and six top citations, explore common reasons that facilities struggle to meet these regulations, and discuss why surveyors cite them.


As a reminder, the top ten deficiencies are:

  1. F880 - Infection prevention and control

  2. F689 - Free of accidents, hazards/supervision/devices

  3. F812 - Food procurement/storage

  4. F656 - Develop/implement comprehensive care plan

  5. F684 - Quality of care

  6. F761 - Label/storage of drugs and biologicals

  7. F657 - Care plan timing and revision

  8. F758 - Free from unnecessary psychotropic med/prn use

  9. F677 - ADL care for dependent residents

  10. F550 - Resident rights

(The citations above in red have the potential to cause substandard quality of care when a facility is cited at a scope and severity of F, H, I, J, K, or L level)