of F250 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F250 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
D—
E2100.0%
F—
No harm, potential for minimal
A—
B—
C—
Every recorded F250 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F250 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.
J · Immediate jeopardy, isolatedJuly 21, 2017
Based on a review of the facility's Behavior Management policy, Resident Identifier (RI) #1's medical record and staff interviews, the facility failed to ensure RI #1, a cognitively impaired resident identified as at risk for elopement, who repeatedly voiced a desire to leave the facility, was placed on a behavior management plan to address repeated wandering/exit-seeking behavior.
Beginning in January 2017, RI #1, a resident diagnosed with [REDACTED]. In April 2017, RI #1 called a taxi to take him/her away from the facility. Then two days before RI #1 eloped from the facility, on 6/7/2017, the resident was observed cursing stating he/she had to leave this place and looking out the door. …
Based on interview and record review the facility failed for one (Resident #1) of seven residents reviewed for refusal of care and services, to provide social services that addressed the reasons and remedy for the resident's refusals. This failure prevented the resident from attaining their highest practicable level of biopsychosocial health and contributed to the worsening of a pressure ulcer that developed into a life threatening medical condition for Resident #1.
Findings included:
According to the 08/09/17 admission Minimum Data Set (MDS) an assessment tool, Resident #1 was cognitively aware, able to make his own decisions, exhibited no behaviors, required extensive assistance from one to two staff for activities of daily living, and had [DIAGNOSES REDACTED]. …
D · No harm, potential for more than minimal, isolatedAugust 30, 2018
Based on interview and record review, the facility failed to ensure one of one sampled residents (Resident 1) was provided timely, medically-related social services to attain or maintain her highest practicable physical, mental, and psychosocial well-being when there was a lack of coordination of care and lack of consultation with Resident 1's primary physician.
This failure had the potential for Resident 1's needs to not be met, and for her appointed legal representative to not be involved in her health care and decision making. …
C · No harm, potential for minimal, widespreadAugust 16, 2017
Based on interview and record review, the facility failed to provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 1 of 1 resident (Resident #1) whose care was reviewed for provision of social services in that:
Resident #1 was not provided with discharge planning services.
This deficient practice could place all 89 residents at the facility at risk for not being provided social services to meet their highest practicable mental and psychosocial needs.
The findings were:
Review of Resident #1's face sheet dated 08/09/2017 revealed she was admitted [DATE] and readmitted on [DATE] and had [DIAGNOSES REDACTED]. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction