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 Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F700 less often than its own record predicts
Versus expected share0.65×
0.65 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.25%
Of every deficiency written in Illinois in 2025, this is the portion that was F700.
Illinois0.25%
National0.39%
Share of all citations that were F700.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F700 findings written in Illinois, 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.
J · Immediate jeopardy, isolatedJune 26, 2026
Based on observation, interview and record review, the facility failed to assess residents for risk of entrapment from a bedrail and failed to calibrate an alternating air flow mattress setting for a resident's weight. These failures resulted in R12's mattress becoming overinflated which caused R12 to fall into the bedrail and to the floor. During the fall R12's arm became entrapped in the bedrail and R12 was unable to reposition R12's head and neck away from the bedrail which resulted in neck and sternum injuries. …
Based on observation, interview, and record review, the facility failed to ensure bed rails/side rails were installed in accordance with doctor's orders to prevent injury for 1 of 5 resident (R4, R5, R6, R9, and R10) reviewed for bed rails in the sample of 17. The failure resulted in R4 sustaining a fracture of left humerus bone in left upper arm.
Findings include:
R4's admission record documented R4 was admitted to the facility on [DATE] and included diagnoses of nondisplaced [NAME] fracture of right tibia, multiple fractures of ribs, left side, multiple fractures of ribs, right side, mood disorder, alcohol abuse, anxiety, insomnia, and chronic obstructive pulmonary disease. …
E · No harm, potential for more than minimal, patternMay 28, 2026
Based on interview and record review, the facility failed to inspect and regularly check the mattress and bed rails for areas of possible entrapment for 3 (R2, R6, and R8) of 3 residents reviewed for bedrails in a sample of 38. 1. R2's Medical Record documents she was admitted on [DATE] with diagnosis to include but not limited to Morbid Obesity, Type II Diabetes Mellitus and Chronic Respiratory Failure with Hypoxia. R2's Medical Record documents she cognitively intact and makes her own decisions. Throughout the survey R2's upper half side rails on both sides were up while she was in bed. On 5/27/2026 R2 stated she used the side rails for turning in bed. R2's Side Rail assessment dated [DATE] documents the side rails do not restrict mobility or prevent independent functioning. …
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