of F498 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
The harm level
How severely F498 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 F498 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F498 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, patternAugust 22, 2017
Based on observation, interview and record review conducted during an abbreviated survey (Complaint #NY 782), the facility failed to ensure that Certified Nurse Aides (CNAs) demonstrated competency in skills and techniques necessary to meet special needs and prevent abuse for one of six residents with dementia and dysphagia (swallowing disorder) who was totally dependent on others to provide all aspects of care (Resident #1). Specifically, monitoring and supervision was not performed effectively to ensure that training for abuse prevention, ADL (activities of daily living) care and assistance to feed were properly implemented. Six CNAs failed to provide care in accordance with the Resident #1's assessment, physician's orders [REDACTED]. …
Based on review of clinical records, select resident incident reports, facility documentation and training records, observation and staff interview, it was determined that the facility failed to ensure that nurse aides demonstrated competency in performing safe transfers using a mechanical lift to prevent serious injury, a spiral fracture, to one resident (Resident CR2) out of 11 sampled residents.
Findings include:
A review of the clinical record revealed that Resident CR2 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. …
E · No harm, potential for more than minimal, patternFebruary 5, 2018
Based on interview and record review the facility failed to ensure Certified Nursing Assistants (CNAs) had competency in skills and techniques necessary to care for residents' needs such as communication and care with residents with dementia, safety, and residents rights when:
1. a. CNA 30 had warnings and performance improvement needs including resident abuse that were not addressed by the facility administration.
b. CNA 23 had warnings and performance improvement needs including resident abuse that were not addressed by the facility administration.
c. CNA 19 had warnings and performance improvement needs including resident abuse that were not addressed by the facility administration.
d. …
B · No harm, potential for minimal, patternAugust 2, 2017
Based on interview and record review the facility failed to ensure that 5 of 6 Certified Nurse Assistants (CNAs - CC, DD, EE, FF & GG) reviewed demonstrated competency in skills necessary to care for residents' needs resulting in the potential for substandard care and unmet care needs.
Findings include:
On 8/2/17 at approximately 1 p.m., the personnel task review was done with Administrator (ADM) A because the human resources employee was no longer working at the facility. Newly hired CNA CC and 4 long-term, CNAs DD, 'EE', 'FF' & 'GG' were discovered with no skills check lists (competencies) completed before working independently with residents or on a yearly basis. When asked, ADM A said that the facility was not, as yet, doing skills assessments for CNAs.
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