Based on observation, interview, and record review, the facility failed to provide sufficient space in the East Wing dining room (the smaller of two facility dining rooms) to safely and comfortably accommodate 16 of 16 (Residents 5, 17, 26, 30, 31, 46, 53, 63, 65, 66, 72, 78, 81, 86, 99, and 108) sampled residents who ambulate (walk), use walkers and wheelchairs (mobility devices). During meal times (breakfast, lunch and dinner) facility staff configured tables, chairs and mobility devices in such a way as to block the entrances and exits of the dining room and to not provide comfortable spacing between residents. …
F920
Environmental Deficiencies
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F920 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F920 finding.
The harm level
How severely F920 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 | D1931.1% | E3354.1% | F914.8% |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F920 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, interviews with staff and residents it has been determined that the facility did not provide one or more rooms designated for resident dining for 4 of 4 floors observed (1st floor, 2nd floor, 3rd floor, and 4th floor). Findings Include: Observation on the 2nd floor on July 28, 2026, at 12:30 p.m. revealed a room with a sign on the wall outside that said dining room. Inside this room were administrative staff working, including the Director of Nursing. There were no residents eating lunch in this room. All residents were eating their lunch in their own rooms. Observation on the 5th floor on July 29, 2026, at 12:30 p.m. revealed two residents sitting in the lobby area in front of the television while the lunch trays were being passed. …
Based on observation, interview and record review the facility failed to ensure an adequately furnished space for dining and activities for 1 of 1 dining room and 1 of 1 activity room reviewed for dining and activity rooms. The facility did not provide an adequately furnished dining room or activity room for dining and resident activities. This failure could place the residents at risk for psychosocial harm and decreased quality of life. Findings included: Record review of the face sheet and physician orders dated 2/23/2022 indicated Resident #8 was [AGE] years old and admitted on [DATE] with diagnoses including dementia, encephalopathy (brain disease that alters brain function), and chronic pancreatitis (inflammation of the pancreas). …
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