F909 in Georgia. Pick another state for the same tag.
Against expectation — 2025
Georgia cites F909 less often than its own record predicts
Versus expected share0.53×
0.53 times the national share — cited less often here than elsewhere.
Share of Georgia citations0.06%
Of every deficiency written in Georgia in 2025, this is the portion that was F909.
Georgia0.06%
National0.11%
Share of all citations that were F909.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F909 findings written in Georgia, 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.
F · No harm, potential for more than minimal, widespreadApril 25, 2026
Based on observations, staff interviews, review of Manufacturer's Instructions for Use (MIFU), and policy review, the facility failed to ensure bed frames, mattresses, and bed rails were inspected and maintained per the MIFU for six of six residents (Resident (R) 2, R5, R24, R28, R33, and R57) reviewed for bed rail use. This deficient practice has the potential for bed malfunction, failure, or entrapment, which could lead to resident injury.Findings include:
1. During observations on 04/21/26 at 12:18 PM and on 04/22/26 at 9:25 AM, it was revealed that R2 had bilateral upper (the head of the bed area) bed rails.
2. During an observation on 04/21/26 at 2:55 PM, it was revealed that R5 had bilateral upper bed rails.
3. …
C · No harm, potential for minimal, widespreadAugust 2, 2018
Based on observation, record review, and staff interview, the facility failed to provide evidence that they were conducting regular inspections of bed frames, mattresses, and bed rails, as part of a regular maintenance program, to identify areas of possible entrapment. 71 residents in the facility had either half bed rails or other attached bed accessory such as a bed cane (including residents (R) #21 and R#33), and the facility census was 89 residents.
Findings include:
Observation on 7/31/18 at 11:10 a.m. revealed that R#21 had an enabler-type rail at the top of the open side of her bed that had a large oval-shaped opening in the center of the rail. …
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