of F167 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F167 is cited
0.0% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G—
H—
I—
No harm, potential for more than minimal
D—
E—
F—
No harm, potential for minimal
A—
B150.0%
C150.0%
Every recorded F167 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F167 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
D · No harm, potential for more than minimal, isolatedNovember 22, 2017
Based on interviews and policy review, the facility failed to ensure that four out of eight alert residents who attended the group meeting were aware of the availability and location of the latest survey results.
This deficient practice had the potential for residents to not be fully informed of the facility's deficient practices and their plans of corrections.
Findings:
During the group interview on 11/21/17 at 10:15 am, four out of eight alert and oriented residents stated they were not aware of the survey results from the previous surveys, nor where it is located. …
C · No harm, potential for minimal, widespreadDecember 4, 2017
The facility census totaled 55 residents. Based on observation, interview and record review the facility failed to post notice of availability and make available all reports for any survey, certification and complaint investigation regarding the facility during the preceding 3 years, as well as the plan of correction in effect for each report.
Findings included:
- During the initial tour of the facility on 11/13/17 at 4:18 p.m., observation revealed a black binder outside the administration area containing only 1 year of the Federal and State survey results and not the required 3 years of surveys. …
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