Based on observation, interview, clinical record review, and document review, the facility failed to ensure upper side rails attached to a resident's bed were not used as a restraint with the intent to prevent a resident from ambulating on their own for 1 of 18 sampled residents (Resident #21). This deficient practice had the potential for a resident to experience psychosocial or physical harm from the resident's freedom of movement and activity being unnecessarily prohibited.Findings include: Resident #21 Resident #21 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including unspecified dementia, severe, with other behavioral disturbance, muscle weakness (generalized), and anxiety disorder due to known physiological condition. …
F604 citations in Nevada
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F604 more often than its own record predicts
1.72 times the share F604 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F604 findings written in Nevada, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 1.45× |
| 2024 | 0.13% | 0.35× |
| 2025 | 0.65% | 1.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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