Based on observation, interview and record review, the facility failed to implement activities in accordance with residents' identified care needs, resulting in 1 of 9 residents attempting to toilet himself, falling and sustaining a [MEDICAL CONDITION], (#1) and leaving 8 other residents at risk for potential serious injury/impairment/death (#2, 3, 4, 5, 6, 7, 8 & 9). On 02/08/17, during an activity outing to a large supercenter, nine residents left the facility in 2 different buses with one activity staff member. All of the residents were long-term care residents, requiring 24-hour nursing care and had different levels of mobility and needs for assistance. The staff member had to be paged by supercenter staff to come to assist resident #1 in the public restroom. …
F248
Quality of Life and Care Deficiencies
Provide activities to meet the interests and needs of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F248 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 F248 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 observations, record reviews, and interviews, the facility failed to provide an ongoing program of activities based on the comprehensive assessment and care plan, which was designed to meet the interests of and support the physical, mental and psychosocial well-being of each resident, by failing to assess residents' individual needs, ensure adequate staff were available, and facilitate resident participation for one (Resident #379) of a sample of 29 residents. Failure to meet these needs resulted in Resident #379's experiencing social isolation, feelings of dehumanization, and wanting to kill himself. According to the American Journal of Epidemiology (Volume. 109, No. …
Based on interview and record review the facility failed to meet the activity needs for one of 45 sampled residents (Resident 35). This failure resulted in a violation of Resident 35's right to practice her religion free from fear and intimidation. Refer to F 151. Findings: A review of Resident 35's admission record indicated she was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident 35 was able to make self understood and understands others. Resident 35 was independent in decision making. During a review of a facility policy titled Resident Rights dated 9/16 indicated Facility shall employ an adequate number of qualified personnel to carry out all of the functions of the facility. …
Based on direct observation, medical record reviews, resident and staff interviews, the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group & individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community, for the 19 residents in the memory care unit. …
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