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 Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F842 more often than its own record predicts
Versus expected share2.01×
2.01 times the share F842 takes of citations nationally.
Share of Rhode Island citations4.51%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F842.
Rhode Island4.51%
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 Rhode Island surveyors wrote
F842 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, isolatedJune 23, 2025
Based on record review and staff interview, it has been determined that the facility failed to ensure that resident records are complete and accurately documented, relative to the monitoring of an elopement prevention device, a TekTone device (a device that allows at-risk residents to move freely about a facility, while preventing them from exiting the facility), for 1 of 1 resident reviewed who eloped from the facility and sustained a hip fracture, Resident ID #1.
Findings are as follows:
Review of a facility's policy titled Wanderguard [TekTone device] System and Assessments checks states in part .The bracelet will be checked each shift to assure placement, the nurse will sign this as checked in the treatment record . …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on clinical record review and staff interview, the facility failed to maintain medical records that are accurately documented, in accordance with professional standards and practices, for 1 of 2 residents reviewed related to anticoagulation therapy, Resident ID #1.Findings are as follows:A facility-reported incident submitted to the Rhode Island Department of Health on 8/26/2026 revealed that a resident received double the dose of Lovenox due to a miscommunication between the nurse and the provider.Record review revealed that Resident ID #1 was re-admitted to the facility in June of 2026 with a diagnosis including, but not limited to, paroxysmal atrial fibrillation (an irregular heart rhythm that starts suddenly and stops on its own).Review of the August 2026 Medication… …
B · No harm, potential for minimal, patternSeptember 11, 2025
Based on record review and staff interview, it has been determined the facility failed to maintain medical records on each resident that are complete and accurately documented in accordance with accepted professional standards and practices, for 2 of 6 residents reviewed for pressure injuries (a localized area of the skin and/or underlying soft tissue damage caused by prolonged pressure), Resident ID #s 53 and 114. Findings are as follows:
1. Record review revealed Resident ID #53 was admitted to the facility with diagnoses including, but not limited to, mild protein-calorie malnutrition and dementia.
Record review revealed a physician's order dated 10/21/2024 for weekly skin checks every Friday. …
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