Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
F242 in Maryland. Pick another state for the same tag.
No F242 citations were recorded in Maryland for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Maryland surveyors wrote
F242 findings written in Maryland, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
E · No harm, potential for more than minimal, patternOctober 23, 2017
Based on clinical record review, observation, resident interview, and staff interview it was determined that the facility nursing staff failed to ensure residents received the number of requested showers (#179, #117, and #8). This was true for 3 out of the 30 residents in the Stage II sample.
The findings include:
1. This surveyor interviewed Resident # 179 on 10/17/17 at 9:12 AM. The resident was asked Do you choose how many times a week you take a bath or shower? The resident responded that he/she can't because he/she was told the showers are broke and has not received a shower in three months. The resident also stated a preference for minimum of two showers a week. …
C · No harm, potential for minimal, widespreadMarch 22, 2016
Based on surveyor observation and interview with residents and facility staff, it was determined that the facility failed to ensure that residents were aware of choices/alternatives at meals. This finding was evident in 4 of 4 residents' units. The findings include:
On 03-15-16 at 12PM, surveyor interview with resident #41 revealed that there were no choices or alternatives offered at meal times. Further interview revealed that the menu was posted on the unit's bulletin board and the daily activity sheet. However, there were no alternative choices offered or posted.
On 03-15-16 at 12PM and 1PM, surveyor observations revealed that all units had a posting of the daily menu being served for breakfast, lunch and dinner. …
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