Based on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure beds and bed rails were inspected and maintained as part of an ongoing program. This was true for 2 of 6 residents (#10 and #22) reviewed for bed rails. This failure created the potential for injury or harm if a resident was to become entrapped by unmonitored equipment. Findings include: The facility's Bed Rails policy, revised 1/2022, stated it is the policy of the facility to attempt to use appropriate alternatives prior to installing a side or bed rail. If a bed or side rail is used, the facility must ensure correct installation, use, and maintenance of bed rails. …
F909 citations in Idaho
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Idaho cites F909 more often than its own record predicts
3.49 times the share F909 takes of citations nationally.
Of every deficiency written in Idaho in 2024, this is the portion that was F909.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Idaho surveyors wrote
F909 findings written in Idaho, 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.
What else Idaho surveyors cite →
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