Pain Qualified Prospect Feed — Validated with live CMS data
A Data-Driven Outbound Workflow for BioWound Solutions
Using the CMS Nursing Home Health Citations database to identify skilled nursing facilities with active F-686 wound care compliance failures at the exact moment their 90-day corrective action deadline creates urgent buying windows.
80-120
New Qualified Leads Per Month
14-60 Day
Optimal Outreach Window
Validated Workflow
"The Citation Correction Window"
Using the CMS enforcement database to identify skilled nursing facilities facing active F-686 wound care citations with 14-90 days remaining before follow-up surveys. These facilities have documented proof of wound care failures, executive pressure to fix it, and unlocked budgets for compliance spending.
How It Works
1
Monitor the CMS Nursing Home Health Citations database weekly for new F-686 (wound care treatment) and F-314 (pressure sore prevention) citations
2
Filter for citations with Scope/Severity rating D or higher (actual harm documented), correction date blank (unresolved), and inspection within past 180 days
3
Calculate days remaining until 90-day correction deadline. Prioritize facilities at 14-60 days remaining (peak urgency window)
4
Enrich with facility contact data (wound care coordinator, DON), star ratings, staffing levels, and ownership structure for account tiering
5
Map citation language to specific product recommendations (pressure prevention → collagen matrices, infection risk → antimicrobial dressings, healing failures → moisture management)
6
Deliver weekly lead cards with facility name, specific deficiency details, correction deadline countdown, and tailored outreach angle to sales team
✓ Validated 25/25 — Perfect Score
What You'll Receive
Weekly Lead Intelligence
Each lead card includes the facility name, citation details, correction deadline, and a ready-to-use outreach angle. Here's what the data looks like:
Severity G — Existential Threat
Citation Type
F-686 — Pattern of actual harm with potential for serious injury
Deficiency
Wound care coordinator did not ensure consistent implementation of prescribed treatment protocols, resulting in 3 residents with documented pressure injuries showing signs of infection (purulent drainage, odor, erythema) requiring antibiotic intervention
Correction Deadline
63 days remaining (April 20, 2025)
Facility Profile
Already on CMS Special Focus Facility list — Medicare termination risk if not corrected
Outreach Angle
Executive escalation required. Full wound care program implementation: staff training, protocol redesign, documentation overhaul. Pricing secondary to facility survival.
Citation Type
F-686 — Widespread pattern of actual harm
Deficiency
Wound care protocols did not include timely assessment and treatment modifications for residents with pressure injuries, resulting in 4 residents with Stage 3 ulcers showing no healing progress over 30-day period
Correction Deadline
51 days remaining (April 8, 2025)
Opportunity
Portfolio play — winning this facility opens doors to all 8 locations. Corporate procurement angle.
Citation Type
F-686 — Isolated incident, potential for harm
Deficiency
Facility failed to conduct timely skin assessments for newly admitted residents, delaying identification of Stage 1 pressure injuries by 5 days
Correction Deadline
4 days remaining (February 20, 2025) — CRITICAL WINDOW
Action Required
Emergency outreach. Offer 48-hour shipment + on-site training within 1 week. Position as "corrective action implementation partner."
Market Context
Why This Works Now
The confluence of regulatory pressure, staffing crises, and clinical outcome imperatives creates unprecedented urgency for evidence-based wound care solutions.
Regulatory Environment
CMS F-686 citations for pressure injury treatment failures and F-314 citations for prevention failures consistently rank in the top 15 most-cited deficiency tags nationally. Facilities face 90-day corrective action windows, with repeat violations triggering escalating penalties including civil money fines ($5,000-$20,000 for severe citations), admission moratoria, mandatory third-party monitoring, and potential Medicare decertification.
Industry Pain Points
Skilled nursing facilities are experiencing a perfect storm: 82% industry-wide turnover creates knowledge gaps in wound care protocols, CNAs working 1:13 patient ratios cannot perform adequate repositioning and skin assessments, and 80% of pressure ulcers develop within 2 weeks of admission before prevention protocols take effect. Meanwhile, pressure injuries increase 30-day readmission risk by 22% and extend length of stay by 57%, creating direct financial penalties under CMS quality measures.
Market Dynamics
The aging population (chronic conditions highly prevalent in 65+ population) and diabetes epidemic (589 million adults living with diabetes in 2024, projected to reach 853 million by 2050) drive sustained demand for advanced wound care. Diabetic foot ulcer market alone is growing from $9.36B (2025) to $16.36B (2034) at 6.44% CAGR. Facilities in high-diabetes regions (>15% prevalence) face 2-3x more complex wounds than national averages.
Competitive Landscape
No existing commercial tool systematically monitors CMS citations for wound care tags, alerts suppliers when facilities receive F-686/F-314 citations, and provides targeted outreach lists with timing optimization. Traditional wound care product vendors rely on inbound or relationship-based selling, missing the 14-60 day optimal outreach window when facilities are actively evaluating solutions with unlocked budgets and executive air cover for vendor switches.
Backup Workflows (Passed Theoretical Evaluation)
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Star Rating Freefall
Targets skilled nursing facilities that experienced a health inspection star rating drop in the past 6 months. Star ratings are published monthly on Medicare Care Compare and heavily influence consumer choice, referral patterns, and Medicare Advantage network participation. Uses monthly snapshots from the Care Compare database to identify facilities dropping from 4 stars to 2 stars or 3 stars to 1 star.
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Staffing Crisis Facilities
Identifies facilities with critically low staffing levels (below 3.0 total nurse staffing hours per resident day) using CMS Payroll-Based Journal data. Research shows direct correlation between low staffing and pressure injury rates. These facilities need products that are simple to apply, forgiving of delayed dressing changes, and effective with minimal touch time.
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High-Diabetes Geography Clusters
Uses CDC PLACES database to score facilities by local diabetes prevalence. Facilities in counties with >15% diabetes prevalence (vs. national average of 11%) face chronic, high-volume diabetic wound management challenges. Best used as enrichment layer to prioritize citations in high-diabetes regions.
What You're Looking At
The lead cards in this report aren't a one-time research project. They're a sample of what a Pain-Qualified Prospect Feed looks like — monitoring the CMS Nursing Home Health Citations database continuously and surfacing skilled nursing facilities with active F-686 wound care compliance failures the moment the signal fires.
What the Feed Looks Like
Every Week
20-30 new facilities with active F-686/F-314 citations, each with the specific deficiency description, correction deadline countdown, severity rating, and verified wound care coordinator contact info.
Week 1 Onboarding
SNF Wound Care Market Map, outreach templates for each citation severity type (D, E, F, G), and a competitive landscape snapshot — all ready before the first feed ships.
Monthly Refinement
You tell us which citations turned into meetings, we adjust severity weighting and geographic routing so the feed gets sharper every month.
The Guarantee
80-120 pain-qualified facilities with verified contact info every month — or you don't pay for that month.
Built for B2B sales teams who'd rather have reasons to call than names to guess from.
Want to see the full "Citation Correction Window" list?
We'll pull the current month's F-686 citations (facilities at 14-60 days to deadline), walk you through it live, and show you what lands in your inbox each week. No commitment, just a real look at what 80-120 qualified leads per month actually means.
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