of F460 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F460 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—
E1100.0%
F—
No harm, potential for minimal
A—
B—
C—
Every recorded F460 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F460 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.
E · No harm, potential for more than minimal, patternNovember 16, 2017
Based on observations and staff interviews, the facility failed to ensure bedrooms were equipped to afford full visual privacy for each resident during personal care, treatment or as necessary for the residents. This deficient practice was noted for sample residents on Hall 1, Hall 2, and Hall 3. Individual ceiling track for privacy curtains and the actual curtains for semi private rooms were not in place during the initial tour. The sample size was 29 . The facility census was 84 .
Findings include:
1. Observation on 11/13/17 at 10:30 a.m. , 2:00 p.m. and on 11/14/17 at 9:00 a.m., 11:00 a. m., 2:00 p.m., and on 11/15/17 at 1:00 p.m. 3:00 p.m. and 5:10 p.m. …
C · No harm, potential for minimal, widespreadFebruary 2, 2017
Based on observations and staff interview, the facility failed to ensure full visual privacy to all residents when a privacy curtain was not provided in the shower room in Unit 300. This failure prevented residents from having full visual privacy while showering.
Findings:
During the General Observation tour of the facility, accompanied by the facility's Maintenance Supervisor (MS), conducted on 1/31/17, the Tub Room, adjacent to Unit 300 was inspected. Upon entering the tub room, it was noticed that a privacy curtain was missing from the shower stall, anyone entering the tub room would have full visualization of a resident using the tub. When the MS was asked about the missing curtain, he said he was not aware that it was missing, but would be able to take care of it. …
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