Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Maine. Pick another state for the same tag.
Against expectation — 2024
Maine cites F838 less often than its own record predicts
Versus expected share0.68×
0.68 times the national share — cited less often here than elsewhere.
Share of Maine citations0.13%
Of every deficiency written in Maine in 2024, this is the portion that was F838.
Maine0.13%
National0.19%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F838 findings written in Maine, 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.
D · No harm, potential for more than minimal, isolatedApril 10, 2024
Based on interview and record review, the facility failed to review and update the facility assessment at least annually (between 10/2022 and 04/2024) to determine what resources are necessary to care for its residents competently during day-to-day operations.
Finding:
On 4/10/24, the Director of Nursing provided the surveyor with the Coastal Manor, Corp. Facility Assessment, reviewed on 10/2022. The surveyor could not locate any further evidence that a review or update of the assessment was completed by 10/2023.
On 4/10/24 at 2:15 p.m., the surveyor confirmed in an interview with the Director of Nursing that the review and revision of the facility assessment was not completed since 10/2022.
B · No harm, potential for minimal, patternSeptember 21, 2022
Based on interview and record review, the facility failed to review and update the facility assessment at least annually (between 11/2020 and 11/2021) to determine what resources are necessary to care for its residents competently during day-to-day operations.
Finding:
On 9/19/22 at 10:00 a.m., the Director of Nursing provided the surveyor with the Coastal Manor, Corp. Facility Assessment, originally dated 11/2017 and updated in 11/2019. The surveyor could not locate any further evidence that a review or update of the assessment was completed by 11/2020 and 11/2021.
On 9/21/22 at 2:15 p.m., the surveyor confirmed in an interview with the Director of Nursing that the review and revision of the facility assessment was not completed since 11/2019.
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