Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F842 in Maine. Pick another state for the same tag.
Against expectation — 2025
Maine cites F842 more often than its own record predicts
Versus expected share2.04×
2.04 times the share F842 takes of citations nationally.
Share of Maine citations4.57%
Of every deficiency written in Maine in 2025, this is the portion that was F842.
Maine4.57%
National2.24%
Share of all citations that were F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F842 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.
E · No harm, potential for more than minimal, patternJuly 15, 2026
Based on record reviews and interviews, the facility failed to ensure that clinical records contained accurate and complete information in the areas of neurological assessments, transfer forms, resident falls, vital signs, Physician's Orders for Life Sustaining Treatment (POLST) forms, documentation regarding provider ordered medications, documentation for treatments provided, documentation for meal intake, and Bed Hold Notice Forms for 5 of 22 sampled residents (Resident #10 [R10], R69, R4, R24, and R43).
Findings:
1. …
B · No harm, potential for minimal, patternMay 13, 2026
Based on observations, record review and interviews, the facility failed to ensure that a resident record contained accurate, complete, and/or readily accessible information for 1 of 1 resident(s) reviewed hospice (Resident #45 [R45]).Findings:On 5/11/26, R45's clinical record was reviewed and indicated the following:-On 3/26/26, a health status note indicated R45 was discharged from hospice services.-On 4/1/26 at 1:15 p.m., a provider note stated, [R45], . now on hospice level care. Patient is seen today for weekly hospice visit. The clinical record lacked evidence that R45 was receiving hospice services at the time of the visit.-On 4/8/26 at 11:30 a.m., a provider note stated, [R45], . now on hospice level care. Patient is seen today for weekly hospice visit. …
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