July Guide pattern
In the July Guide, pressure ulcer care appeared in both the overall Standard citation counts and the G+ counts.
481
F0686 citation rows overall.
117
F0686 G+ citation rows.
2 states
F0686 was the top G+ tag in OH and WI.
Review whether the record can trace the current wound story from risk to intervention to follow-up without gaps.
Sample five residents
- Start with high-risk residents, new wounds, worsening wounds, refusals, and recent treatment changes.
- Compare risk assessments, skin observations, wound measurements, treatment orders, and care plans.
- Check whether prevention interventions match the resident today, not only the admission assessment.
- Trace missed treatments, provider notifications, nutrition/hydration review, and support-surface decisions.
- Confirm nursing, therapy, dietary, and medical-provider communication can be followed in the record.
Useful source tools
CMS provides a pressure ulcer/injury pocket guide through SNF QRP training and includes the Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury measure in SNF QRP technical information.