Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
of F917 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202513
Every F917 citation surveyors wrote nationally that year.
Facilities cited13
Distinct nursing homes with at least one F917 finding.
The harm level
How severely F917 is cited
1.6% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G—
H11.6%
I—
No harm, potential for more than minimal
D4266.7%
E1625.4%
F23.2%
No harm, potential for minimal
A—
B23.2%
C—
Every recorded F917 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F917 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.
H · Actual harm, patternFebruary 3, 2025
Based on observation, interview, and record review, the facility failed to ensure that residents were provided with a separate bed of proper size and height for the safety and convenience of the resident for 1 of 4 residents (Resident #1) reviewed for appropriate functional furniture.
The facility failed to ensure Resident #1 had a bed of proper size for his safety to prevent development and worsening of two facility acquired wounds.
The noncompliance was identified as PNC. The past noncompliance began on 12/02/24 and ended on 01/27/25. The facility had corrected the noncompliance before the survey began. …
D · No harm, potential for more than minimal, isolatedAugust 17, 2026
Based on observation, interview and record review, the facility failed to ensure one of six sampled residents' (Resident 1), wooden and plastic dresser was properly arranged to ensure accessibility when needed by the resident. This deficient practice placed the resident at risk of injury when trying to access the belongingsFindings: During a concurrent observation and interview on 8/13/2026 at 3:40 p.m. in Resident 1's room (room [ROOM NUMBER]), Resident 1's wooden and a plastic dresser where he kept his belongings, were difficult to access. Resident 1 stated, I cannot move freely around with my chair because the space is small. Resident 1 stated that when he needs something from the dresser, he asks the nurses to move the bed so he can access the drawers. …
B · No harm, potential for minimal, patternMay 9, 2025
Based on observations and interview conducted during an Extended Recertification Survey from 03/09/2025 to 05/09/2025 the facility did not ensure that all residents had adequate functional furniture that meet residents' needs. Specifically, resident #147 did not have private closet space within their resident room, such that each residents' clothing was kept separate from the clothing of their roommate.
Observations on 03/10/2025 at 11:55 AM on the North Two Unit revealed Resident room [ROOM NUMBER], a four-person capacity room, lacked private closet space for its residents. There were three freestanding wardrobes for the four (4) residents in this room and one of the wardrobes was shared for resident #147 and another resident. …
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