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 Tennessee. Pick another state for the same tag.
Against expectation — 2024
Tennessee cites F700 less often than its own record predicts
Versus expected share0.57×
0.57 times the national share — cited less often here than elsewhere.
Share of Tennessee citations0.24%
Of every deficiency written in Tennessee in 2024, this is the portion that was F700.
Tennessee0.24%
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 Tennessee surveyors wrote
F700 findings written in Tennessee, 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.
K · Immediate jeopardy, patternOctober 3, 2023
Based on policy review, medical record review, observation and interview, the facility failed to ensure a safe environment that prevented an incident of entrapment for 1 (Resident #145) of 77 sampled residents reviewed for assist bar use. The facility's failure to ensure a safe environment resulted in Immediate Jeopardy (IJ-a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) when Resident #145, a vulnerable resident assessed to be cognitively impaired, became entrapped between the assist bar and mattress. …
D · No harm, potential for more than minimal, isolatedNovember 18, 2024
Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure a physician order for bed rail usage was obtained prior to use for 1 resident (Resident #99) of 3 residents reviewed for bed rails.
The findings include:
Review of the facility's policy titled, Physician Orders, undated, revealed .A physician .nurse practitioner .must provide written .verbal orders for the residents' care and needs .
Review of the facility's policy titled, Bed Rails Use guidelines, undated, revealed .It is the policy of this facility to utilize a person-centered approach when determining the use of bed rails .ongoing .supervision .including documentation . …
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