Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F700 in Guam. Pick another state for the same tag.
No F700 citations were recorded in Guam for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Guam surveyors wrote
F700 findings written in Guam, 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.
E · No harm, potential for more than minimal, patternJune 6, 2026
Based on observation, interview, record review, review of the Food and Drug Administration (FDA) guidance, and policy review, the facility failed to ensure alternatives were attempted prior to the use of bed/side rails for 6 of 19 sampled residents (Resident (R) R2, R3, R5, R8, R11 and R12) reviewed for bed/side rails. This failure had the potential to increase the risk of resident accidental entrapment, suffocation, serious injury, or death. Findings include:
1. Review of R2's undated Patient Data located in the Electronic Medical Record (EMR) revealed the resident was admitted to the facility on [DATE] with diagnosis of stroke-like symptoms. …
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