Based on observation, interview and record review, the facility failed to ensure all residents' call lights were audible upon activation and that the facility's staff answered residents' call lights promptly for three of 10 alert residents. These failures resulted in residents not being accommodated and needs not being met, thus resulting in adverse resident outcomes. On 7/25/17 at 2:29 p.m., an Immediate Jeopardy (IJ, a situation in which the facility's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was declared for F241 and F246 and the facility's administrator (ADM, a person responsible for managing an organization) and the director of nursing (DON, a person who provides direction… …
F246
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F246 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 | D3100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F246 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 observation, interview and record review the facility failed to provide reasonable accommodations of needs for 3 of 3 Sampled Residents (#'s 17, 19 & 3) reviewed for safe wheelchair use and access to a communication device. This failure placed all three residents at risk for serious injuries. This failure resulted in psychological harm for Resident #3 and #19 based on reasonable person concept. RESIDENT #19 On 06/08/17 at 10:30 AM observations and interviews were conducted with Resident #17 and a Collateral Contact (CC). The observations revealed, Resident #19 in bed on his back. A standard (regular, non-reclining) wheelchair was located next to resident's bed. During the interview, CC reported Resident #19 was getting depressed because he was in bed all day said. …
Based on observation, interview, and record review, the facility failed to ensure that Resident 1's needs were met when he was not provided a bed that fit him. This resulted in Resident 1 being uncomfortable and had difficulty sleeping. Findings: Resident 1's record was reviewed. Resident 1 was admitted to the facility on [DATE] from an assisted living facility, with [DIAGNOSES REDACTED]. The facility's minimum data set (MDS, an assessment tool), dated 11/21/16, showed that he was understood and was able to understand others, was cognitively intact (able to clearly think, remember and make decisions for himself) and was measured to be 77 inches tall (6 foot 5 inches). …
Based on observation, interview and record review, the facility failed to observe the rights of one (3) of 15 sampled residents and three (19, 20,30) unsampled residents. 1. For Residents 3, 19 and 20, the facility did not provide an effective means of communication when English was not their primary dominant language. 2. And for Resident 30, call light was not within the resident's reach when he had issues with his breakfast. These failures had the potential for the resident's needs not to be noticed by staff due to an inability to communicate with staff and inability to reach the call light to summon staff to the bedside. Findings: 1. On 11/6/17 at 7:40 a.m. …
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