F909 in Maine. Pick another state for the same tag.
Against expectation — 2025
Maine cites F909 more often than its own record predicts
Versus expected share6.00×
6.00 times the share F909 takes of citations nationally.
Share of Maine citations0.65%
Of every deficiency written in Maine in 2025, this is the portion that was F909.
Maine0.65%
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 Maine surveyors wrote
F909 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.
K · Immediate jeopardy, patternApril 9, 2025
Based on observation, interview, and record review, the facility failed to identify the existing risk for entrapment of body parts through bed inspections, this failure created the potential for severe bodily injury including death by entrapment of body parts, for 3 of 35 residents [Resident #26 (R26), (R3) and (R13)]. In addition to the resident in immediate jeopardy, the facility's failure to implement an effective inspection of all resident bed equipment (bed frames, mattresses, and bed rails) to ensure that bed mattresses fit the bed frames to prevent entrapment of body parts, this has the potential to effect 35 out of 35 residents with bed rails.
Findings:
On 3/31/25, the facility's Bed Safety policy, undated, was reviewed. …
F · No harm, potential for more than minimal, widespreadJuly 1, 2026
Based on observations and interviews, the facility failed to conduct regular inspection of all bed frames, mattresses, and bedrails as part of a regular maintenance program to identify areas of possible entrapment for 30 of 30 beds. This has the potential to affect the safety of all residents.Findings:On 6/29/26 at 11:03 a.m., a surveyor observed that the mattress for bed 1 in room [ROOM NUMBER] did not fit the bed frame. There was a large gap between the mattress and the headboard creating a potential space for entrapment of body parts.On 6/29/26 at 2:36 p.m., 2 surveyors observed that the mattress in room [ROOM NUMBER] (bed 1) did not fit the bed frame. There was a large gap between the top of the mattress and the headboard creating a potential space for entrapment of body parts. …
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