F909 in Indiana. Pick another state for the same tag.
Against expectation — 2024
Indiana cites F909 less often than its own record predicts
Versus expected share0.22×
0.22 times the national share — cited less often here than elsewhere.
Share of Indiana citations0.03%
Of every deficiency written in Indiana in 2024, this is the portion that was F909.
Indiana0.03%
National0.12%
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 Indiana surveyors wrote
F909 findings written in Indiana, 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, isolatedJanuary 29, 2024
Based on observation, interview, and record review, the facility failed to ensure one resident's bed rail had safe dimensions. This affected 1 of 1 resident reviewed for accident hazards related to bed rail use. (Resident 21)
Findings include:
On 1/22/24, at 1:18 p.m., Resident 21 was observed sitting in her recliner watching TV. Attached to the open side of her bed was a one quarter width bed rail, and the lower section of the bed rail had a large opening between the lower bars of the bed rail.
On 1/22/24, at 1:32 p.m., the bed rail was measured by the Administrator, and the Director of Nurses was also present. The inside dimensions of the lower part of the bed rail measured eight and one half inches by fifteen inches. …
C · No harm, potential for minimal, widespreadJune 22, 2018
Based on observation, interview and record review, the facility failed to include side rails in the maintenance program when inspecting bed frames, mattresses and side rails for 4 of 7 residents reviewed for side rail usage (Resident 70, 24, 48 and C).
Findings include:
1. The record for Resident 70 was reviewed on 06/20/18 at 3:05 p.m. [DIAGNOSES REDACTED].
During an observation, on 06/21/18 at 10:03 a.m., Resident 70 was laying in bed with two upper side rails in the up position.
2. The record for Resident 24 was reviewed on 06/19/18 at 10:03 a.m. [DIAGNOSES REDACTED].
During an observation, on 06/18/18 at 11:01 a.m., Resident 24's bed had two upper side rails in the up position.
3. The record for Resident 48 was reviewed on 06/21/18 at 10:14 a.m. …
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