of F312 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F312 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
D3100.0%
E—
F—
No harm, potential for minimal
A—
B—
C—
Every recorded F312 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F312 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, patternOctober 23, 2017
Based on observation, interview, and record review, the facility failed to ensure residents received the necessary services to maintain good denture and oral hygiene for 1 of 5 reviewed for activities of daily living (Resident #1).
The facility did not assist Resident #1 with his loose dentures. Resident #1's upper dentures were found lodged in his throat by the funeral home director after his death.
An Immediate Jeopardy was determined to have existed from [DATE] through [DATE]. …
Based on observation, interview, and record review, it was determined the facility failed to ensure residents were provided assistance with oral care and bathing. This was true for 4 of 11 residents (#s 2, 4, 5 and 6) reviewed for activities of daily living (ADLs) and resulted in harm to Resident #5 when 12 new areas of dental decay/cavities developed and she experienced oral/dental pain. The failure also created the potential for Resident #4 to experience oral care/dental problems, Resident #2 and #6 to experience alterations in skin integrity, and for all four residents to experience embarrassment and/or rejection by others from unclean appearance and/or odor. Findings include:
1. …
D · No harm, potential for more than minimal, isolatedApril 19, 2018
Based on observation, interview and record review the facility's nursing staff failed to apply lotion to the skin of one of three sampled residents (Resident A) on two separate occasions following a bed bath and shower. This deficient practice placed the resident at risk for skin break down.
Findings:
A review of Resident A's Admission Records indicated she was readmitted to the facility on (MONTH) 14, 2013, with [DIAGNOSES REDACTED].
On (MONTH) 7, 2013, at 9:55 a.m., following Resident A's shower and (MONTH) 11, 2013, at 10:30 a.m., following her bed bath Certified Nursing Assistant 1 (CNA 1) did not apply lotion to Resident A's skin. …
B · No harm, potential for minimal, patternNovember 14, 2017
Based on clinical record review and staff interviews, the facility failed to complete bathing according to resident/family wish's for 1 of 3 current residents reviewed (Resident #3). The facility reported a current census of 82.
Findings include:
1. According to the MDS (Minimum Data Set) for Resident #3 dated 12/25/16, he had [DIAGNOSES REDACTED]. The same MDS recorded the resident required extensive staff assistance for personal hygiene and total dependence on staff for bathing.
Review of the care plan dated 8/10/16 revealed staff direction to bathe Resident #3. …
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