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 Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F700 more often than its own record predicts
Versus expected share2.10×
2.10 times the share F700 takes of citations nationally.
Share of Minnesota citations0.82%
Of every deficiency written in Minnesota in 2025, this is the portion that was F700.
Minnesota0.82%
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 Minnesota surveyors wrote
F700 findings written in Minnesota, 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, isolatedApril 17, 2025
Based on observation, interview and document review the facility failed to ensure proper assessment of bed rails for 1 of 4 residents (R1) reviewed for siderails. Staff implemented a new mattress on a bed with side rails attached, resulting in R1's head becoming trapped between the mattress and the side rail of the bed.
The immediate jeopardy (IJ) began on 4/10/25, at approximately 12:00 a.m., when facility staff replaced the mattress on R1's bed without checking the entrapment zones between the mattress and the side rail resulting in R1's head becoming trapped between the mattress and the siderail. The IJ was identified on 4/17/25, the administrator was notified of the IJ on 4/17/25, at 4:10 p.m. …
D · No harm, potential for more than minimal, isolatedSeptember 10, 2026
Based on observation, interview and document review, the facility failed to ensure residents with attached grab bars were comprehensively assessed for use for 1 of 3 residents (R16) whom had grab bars. Findings include:R16's significant change Minimum Data Set (MDS) dated [DATE], identified R16 was cognitively aware and had diagnoses that included dementia, adult failure to thrive (FTT), and major depressive disorder. R16 was dependent on staff in all care areas.R16's Functional Abilities (Self-Care and Mobility) Care Area Assessment (CAA) dated 6/23/26, identified R16 had an alteration activity of daily living (ADL) self-care performance related to weakness from diagnosis of FTT and some noted confusion with diagnosis of dementia. …
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