Based on record review, observations and interview, the facility failed ensure correct use and installation of bed rails to avoid the risk of entrapment. The facility failed to: 1. Identify and use appropriate alternatives prior to using bed rails; 2. Ensure appropriate dimensions of the bed based on the resident's size and weight to ensure the resident's bed frame, mattress, and bed rails were compatible prior to instillation; 3. Ensure correct installation of bed rails including adherence to manufacturer's recommendations and/or specifications for adaptive devices to prevent entrapment; 4. Adequately assess the residents' risk for entrapment and safety prior to applying modified side rails with wooden boards that were not recommended per the manufacturer; 5. …
F700 citations in Louisiana
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
Louisiana cites F700 more often than its own record predicts
3.39 times the share F700 takes of citations nationally.
Of every deficiency written in Louisiana 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 Louisiana surveyors wrote
F700 findings written in Louisiana, 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 observations, record reviews, and interviews the facility failed to ensure residents were assessed for the risk of entrapment prior to installation of bed rails for 2 (#5 and #45) of 2 residents reviewed for accident hazards.Findings:Resident #5Review of the medical record for Resident #5 revealed an admission date of 01/20/2017 with diagnoses that included dementia, cognitive communication deficit, bipolar, and schizoaffective disorder. Review of the May 2026 physician orders revealed an order dated 11/04/2024 for assist rails to the bed times two for mobility and to monitor every shift.Observations of Resident #5 on 05/18/2026 at 4:00 p.m. and 05/19/2026 at 3:15 p.m. revealed the resident was in the bed with bilateral assist rails in the up position. …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 0.18× |
| 2024 | 0.85% | 1.98× |
| 2025 | 1.32% | 3.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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