Based on observation, interview, record review and review of the facility's policy, it was determined the facility failed to ensure three (3) of fourteen (14) sampled residents' (Residents #16, #10, and #17) beds and side rails were assessed and the risks versus benefits were discussed with the residents and/or their responsible parties before the bed rails were utilized. The potential risk included entrapment related to the use of the bed rails. In addition, the facility also failed to properly assess to ensure bed rails did not pose a risk of entrapment before the bed rails were installed on Resident #16's bed. On 03/18/2020, the facility placed Resident #16 in a bed with a side rail designed to assist the resident with bed mobility. …
F700 citations in Kentucky
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
Kentucky cites F700 less often than its own record predicts
0.36 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F700 findings written in Kentucky, 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.
Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident was assessed for bed rail use and consent obtained for the use of the bed rails for 1 of 2 residents reviewed for accidents, out of the total sample of 35 residents (Resident (R)101). The findings include:Review of the facility policy titled, Guidelines for the Use of Bed Rails, dated 10/09/2017, revealed prior to the installation of bed rails, the facility was to attempt to use alternatives. Per review, if the alternatives attempted were not adequate to meet the resident's needs, the resident was assessed for the use of bed rails. …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 0.83× |
| 2024 | 0.15% | 0.35× |
| 2025 | 0.14% | 0.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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