Based on observations, record review and interviews the facility failed to assess the risk of entrapment from bed rails prior to installation for two of two residents reviewed for accident hazards, Resident (R) 56 and R38. This deficient practice could place R56 and R38 at risk for harm from bed rail use. The deficient practice could affect all residents in the facility who are using bed rails if a risk assessment is not completed prior to use of their bed rails. Findings Include:Cross-reference to F909 Resident Bed. The facility failed to implement a regular maintenance program to identify areas of possible entrapment with bed rail use for residents observed using bed rails, Resident (R) 56 and R38. …
F700 citations in Hawaii
Bed rails · Quality of Life and Care Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F700 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2025, this is the portion that was F700.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F700 findings written in Hawaii, 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.
What else Hawaii surveyors cite →
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