Based on observation, interview, and record review the facility failed to provide one of one sampled resident (Resident 5) a window to see outside to help the resident orient to day, night, and weather. As a result of this deficient practice, Resident 5 was not provided with a homelike environment and had the potential for Resident 5 to be disoriented to time of day and to feel confined. Findings: During a review of Resident 5's admission Record (face sheet), the admission Record indicated Resident 5 was admitted to the facility 5/1/2026 with diagnoses of schizophrenia (a severe, chronic mental health disorder that affects how a person thinks, feels, and behaves, often making it hard to tell what is real and what is imagined) and depression (a serious mood disorder that causes a persistent… …
F915
Environmental Deficiencies
Ensure each resident room has a window to the outside that meets requirements
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F915 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F915 finding.
The harm level
How severely F915 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F915 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations and interview the facility failed to ensure each resident's bedroom had a window to the outside. Two of 56 facility rooms did not meet that requirement. No actual harm resulted from the limited square footage. Findings include: Observation during a resident interview on 08/13/18 at 4:23 PM, revealed the only window in room [ROOM NUMBER]'s looked into the therapy room. During an interview on 08/14/18 at 9:45 AM, the Administrator stated he was not aware that room [ROOM NUMBER] did not have a window to the outside. …
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