of F224 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F224 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
D1100.0%
E—
F—
No harm, potential for minimal
A—
B—
C—
Every recorded F224 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F224 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.
K · Immediate jeopardy, patternDecember 1, 2017
Based on observation, interview and record review, the facility failed to ensure the resident was free from neglect for seven (Resident #1, #2, #3, #4, #5, #6, and #7) of 13 residents reviewed for neglect.
1. The facility failed to protect Resident #1, #2, #3, #4, #5, #6, and #7 when multiple allegations of sexual abuse were not thoroughly investigated and reported.
2. The former Administrator X did not thoroughly investigate and report when Resident #1's family stated Resident #1 had been sexually abused by CNA A.
3. The former Administrator X and DON did not thoroughly investigate and report when another resident reported Resident #2 had been kissed by a male employee.
4. …
Based on observation, interview, and record review, the facility failed to follow its policy to ensure residents were free of abuse and neglect for one of one sampled residents (Resident A). A Certified Nursing Assistant 1 (CNA 1) left Resident A wet for over four hours and when changing the resident's diaper, the CNA was rough and rude during care.
These deficient practices resulted in Resident A being neglected, and had the potential for physical abuse.
Findings:
A review of Resident A's Admission Records (Face Sheet) indicated the resident was readmitted to the facility on (MONTH) 13, (YEAR), and last readmitted on (MONTH) 6, (YEAR). …
D · No harm, potential for more than minimal, isolatedJuly 18, 2018
Based on interview and record review, the facility failed to ensure that one of three sampled residents (Resident 1) was treated with dignity and respect and not subjected to mistreatment (rough handling during care) by Certified Nursing Assistant 1 (CNA 1).
This deficient practice resulted in the resident being upset and had the potential to cause physical, as well as, psychological harm to Resident 1 and other residents in the facility.
Findings:
On (MONTH) 27, (YEAR), at 7:30 a.m., an unannounced visit was made to the facility to conduct an investigation of the facility-reported incident (ERI) regarding resident right.
A review of Resident 1's Admission Record indicated that Resident 1 was admitted to the facility on (MONTH) 27, (YEAR). …
B · No harm, potential for minimal, patternMarch 16, 2017
This citation pertains to intake MI 620
Based on interview and record review, the facility failed to prevent misappropriation of funds for 1 (Resident #1) of 3 reviewed for abuse, from a total sample of 3, resulting in the misappropriation of $20 from Resident #1.
Findings include:
Review of the Minimum Data Set ((MDS) dated [DATE], revealed Resident #1 was [AGE] years old and admitted to the facility on [DATE]. The MDS revealed Resident #1 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS).
Review of the facility's investigation revealed a handwritten note signed by Resident #1 and dated 3/1/17. …
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