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 Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F700 less often than its own record predicts
Versus expected share0.45×
0.45 times the national share — cited less often here than elsewhere.
Share of Rhode Island citations0.17%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F700.
Rhode Island0.17%
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 Rhode Island surveyors wrote
F700 findings written in Rhode Island, 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, isolatedAugust 18, 2026
Based on record review and staff interview, the facility failed to ensure that a comprehensive resident assessment was completed for bed rails, including the risk of entrapment, during the bed rail installation for Resident ID #1's bed. Subsequently, the resident was found unresponsive with his/her head and neck caught between the bed rail and the mattress. Findings are as follows:Record review of a facility reported incident submitted to the Rhode Island Department of Health revealed that on [DATE] the resident was found deceased , in a sitting position on the floor, with his/her right elbow resting on the floor and his/her left hand holding the left bed rail. The bed was noted in low position. …
Based on record review and staff interview, the facility failed to ensure the correct use and ongoing reassessment of bed siderails for one of one resident, Resident ID #1 reviewed for the use of bed siderails. The facility failed to reassess the continued need for and safety of the resident's bed siderails for approximately 15 months, despite the resident's severely impaired cognition, total dependence for bed mobility, and continued use of the device. Consequently, the facility failed to identify that the bed siderails had become unsafe and were no longer clinically appropriate. As a result, Resident ID #1 sustained a traumatic posterior (the back) dislocation of the right shoulder and significant bruising. …
F · No harm, potential for more than minimal, widespreadJuly 2, 2026
Based on record review, surveyor observations, and staff interviews, the facility failed to ensure that bed side rails were safely installed, assessed, and managed in accordance with manufacturer recommendations, the CMS Resident Assessment Instrument (RAI) Manual, and the facility's own policy. Specifically, the facility failed to: ensure bed side rails were compatible with the bed frame and installed according to manufacturer specifications for four of four units, affecting one of one resident reviewed for bed system compatibility, Resident ID #6. …
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