of F252 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F252 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 F252 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F252 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.
K · Immediate jeopardy, patternJanuary 14, 2016
Based on observation, interview, and record review, the facility failed to provide the residents with safe environment at all times. The facility failed to disallow and prevent any portable electric heater to be used in any patient care areas (including tub room) as the portable electric heater is prohibited by NFPA 101, 200 Edition, 19.7.8.
This deficient practice had a potential to cause serious physical harm to the residents who were using the tub room. This practice was an electrical hazard and can overload electrical circuits which can cause a fire if the heater were to malfunction. …
Based on record review, observation and interview the facility failed to ensure that one Resident's room (#6) was kept clean and free from offensive odors in a total sample of 15 residents.
Findings include:
Resident #6 was admitted to the facility in 2007. [DIAGNOSES REDACTED]. The quarterly Minimum Data Set (MDS) coded the resident as "3" or severely cognitively impaired. The MDS coded the resident as "4" (requiring total care) for all activities of daily living.
The surveyor entered the first floor unit on 8/14/12 at around 8:00 A.M. The unit consists of rooms along two sides, and the central section of the unit is reserved for offices, the nurses station and the nutrition kitchen. …
D · No harm, potential for more than minimal, isolatedDecember 15, 2017
Based on interview, observation, and record review, the facility failed to prevent a loss of resident belongings when one of three sampled residents (Resident 1) lost a personal wheelchair which had been inventoried on his resident belongings list.
This failure resulted in the loss of Resident 1's personal Drive Black wheelchair and had the potential to cause Resident 1 financial and psychosocial stress.
Findings:
A review of clinical records indicated Resident 1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. …
C · No harm, potential for minimal, widespreadNovember 17, 2017
Based on observation, interview and record review the Facility failed to ensure resident shower rooms are clean, sanitary and in working condition. This has the potential to affect all 84 residents living in the facility.
Finding include:
During the group meeting on 11/15/2017 at 10:30 AM, R18, R19, R20, R21, and R22 all stated the shower rooms are disgusting. They stated there are tiles sticking up, paint peeling, and holes in the walls. They stated it is not right, the shower rooms are a mess, and they shouldn't be like that. R21 stated she takes showers on both sides of the 500 hall, but the one side quit working and now everyone has to take a shower on the other side that has holes and tiles missing. …
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