Licensure Reference Number 175 NAC 12-007.04(D) Based on observation, record review, and interview; the facility failed to ensure the bathroom ventilation system was functional for 6 (Residents 1, 2, 6, 63, 75, and 88) of 19 sampled residents. The facility identified a census of 90.Findings Are: A record review of Resident 6's Census List revealed the resident was admitted to room [ROOM NUMBER] on 8/7/2026. An observation on 8/24/2026 at 8:35 AM in room [ROOM NUMBER] revealed the bathroom vent would not pull up a 1-ply piece of toilet paper when held near the vent. A record review of Resident 88's Census List revealed the resident was admitted to room [ROOM NUMBER] on 12/26/2024. …
F923
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F923 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F923 finding.
The harm level
How severely F923 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 | D3524.3% | E8458.3% | F2316.0% |
| No harm, potential for minimal | A— | B10.7% | C10.7% |
In the surveyor’s words
What an F923 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.
Licensure Reference Number 175 NAC 12-007.04(D) Based on observations, record review and interviews, the facility failed to ensure bathroom ventilation system was functioning preventing lingering odors from permeating for 10 occupied resident rooms, and the facility failed to ensure the ventilation system was free of dust in Rooms 103,104, 105, 106,107, 109, 110, 113,115, 117. This had the potential to affect all residents. The facility census was 24. Findings are: An observation on 5/19/25 at 8:59 AM revealed the bathrooms ventilation in rooms103,104,105,106,107,109,110,113,115, and 117 did not have functional ventilation as tested with a 1 ply square of toilet paper held flat against the ventilation cover that did not hold the paper which indicated that there was no air draw and the… …
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