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 Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F700 less often than its own record predicts
Versus expected share0.89×
0.89 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.35%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F700.
Massachusetts0.35%
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 Massachusetts surveyors wrote
F700 findings written in Massachusetts, 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, isolatedMarch 3, 2025
Based on observation, records reviewed and interviews for one of six sampled residents (Resident #1) who had limited mobility in his/her right leg related the need for a hinge brace which was changed to a long leg cylinder cast (both of which kept his/her right leg fully extended) for treatment of a fractured patella (knee cap), and had requested bed rails to aide in bed mobility, the Facility failed to ensure nursing completed bed rail assessment on Resident #1, attempted the use of an appropriate alternative to bed rails and obtained informed consent prior to installing two quarter bed rails on his/her bed. …
F · No harm, potential for more than minimal, widespreadJune 9, 2026
Based on observations, interviews, and record review, the facility failed to ensure assessments which included review of risks including entrapment, were completed as required for six Residents (#62, #40, #4, #10, #3, and #81) of six applicable residents reviewed for bed rails use, and informed consent obtained for the use of bed rails for two Residents (#10 and #4), of the six applicable residents, out of a total sample of 27 residents, in addition to completing bed rail assessment for any resident using bed rails after September 2024. Specifically, the facility failed to: 1. …
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