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 Puerto Rico. Pick another state for the same tag.
Against expectation — 2024
Puerto Rico cites F700 more often than its own record predicts
Versus expected share1.65×
1.65 times the share F700 takes of citations nationally.
Share of Puerto Rico citations0.70%
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F700.
Puerto Rico0.70%
National0.43%
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 Puerto Rico surveyors wrote
F700 findings written in Puerto Rico, 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.
L · Immediate jeopardy, widespreadJuly 19, 2021
Based on the recertification/abbreviated and Extended survey, initial tour, record review and observations it was found that the facility failed to performed a risk for entrapment from bed rails prior to installation and failed to acquired manufacturer recommendation and specification for installing and maintaining bed rails resulting in an Immediate Jeopardy for 10 out of 19 resident beds.
Findings include:
1. During the tour performed on 7/15/2021at 9:00 AM till 3:45 PM, it was observed that space from the mattress and the bed rails was 3 inches and the space from head/foot board was 7 inches for 10 out of 19 resident beds. (Rooms 101 A, 101 B, 102 A, 102 B, 104 A, 104 B, 107 A, 107B, 108 A and 108 B)
2. …
F · No harm, potential for more than minimal, widespreadOctober 2, 2024
Based on review of policies and procedures with the Nursing Supervisor (employee #15) on 09/09/2024 at 10:42 AM, it was determined that the facility failed to ensure the risks and benefits of bedrails for residents. The facility must ensure the proper installation, use and maintenance of bedrails.
Findings include:
1. During the review of the procedure's manual, the policy and procedure with professional standards of bedrails practice. The Nursing Supervisor (employee #15), was interviewed to see if they could find it in the manual.
The facility did not ensure that the handrail restrictions included risk review and consent to meet the resident's needs.
C · No harm, potential for minimal, widespreadSeptember 25, 2024
Based on review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 at 1:28 PM, it was determined that the facility failed to ensure the risks and benefits of bedrails for residents. The facility must ensure the proper installation, use and maintenance of bedrails.
Findings include:
1. During the review of the procedure's manual, the policy and procedure with professional standards of bedrails practice. The Compliance Officer (employee #2) were interviewed to see if they could find it in the manual.
The facility did not ensure that the handrail restrictions included risk review and consent to meet the resident's needs.
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