Based on a tour of the facility, facility documentation, clinical record review, and interviews with residents and staff, it was determined that the facility failed to protect the residents, and provide an environment that promotes, maintains, and enhances the quality of life for residents with regard to rodents for 3 of 3 nursing units observed (1 north, 2 North and 2 South), which directly impacted Resident R1, and resulted in Actual Harm to this resident, and an Immediate Jeopardy situation. Findings include: Resident R1, Admission Record dated [DATE], indicated that this thirty two year old the resident had [DIAGNOSES REDACTED]. Interview with the Director of Nursing on [DATE], at 4:00 p.m. revealed that the resident is able to move his wrists and hands. …
F240
Resident Rights Deficiencies
Provide care for each resident in a way that maintains or improves their quality of life.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F240 is cited
0.0% of citations found actual harm or worse (level G and above).
| 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— |
In the surveyor’s words
What an F240 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.
Based on interview and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 4 of 8 residents reviewed for quality of life. (Resident #s 2, 18, 19, and 20) The facility did not protect residents from potential abuse from Resident #18. * Resident #2 reported that Resident #18 was sexually harassing him, and nothing had been done to stop the harassment. …
Based on observation, record review, and interview, it was determined the facility failed to ensure a homelike and comfortable environment was maintained. This involved 1 (#55) of 1 sampled resident who screamed for long periods of time. The screaming disturbed other residents who resided in the facility. The facility census was 44. Findings: Resident #55 had [DIAGNOSES REDACTED]. The admission assessment dated [DATE] documented the resident was usually understood and could usually understand. The assessment documented the resident was moderately impaired in cognitive skills for daily decision making. The assessment documented the resident had disorganized thinking which fluctuated, hallucinations, and behaviors toward others. …
Based on observation, interview and review of facility's documents it was determined that the facility failed to provide a variety of palatable food. This deficient practice was observed for 4 of 4 alert and oriented residents that attended the Resident Group Meeting on 4/20/16 at 10:30 a.m. and was evidenced by the following: During the Group Meeting on 4/20/16 at 10:30 a.m. 4 of 4 alert and oriented residents indicated that food menu and alternate selections were repetitive. On 4/21/16 at 8:15 a.m. the Food Service Director (FSD) stated that the facility has a five week menu cycle and it only changed on the day of a specific holiday. The menu was not changed seasonally and the current menu has been used, without changes for the past three years. …
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