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F0689
D

Improperly Attached Bed Side Rail Creates Accident Hazard

Belfast, Maine Survey Completed on 07-22-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency was identified when a side rail on the left side of bed 107-B was found to be improperly attached, causing it to extend outward when used for support. The issue was first noted in a previous work order indicating the need for repair, but during subsequent observations, the side rail remained inadequately secured. The resident currently occupying the bed reported using the side rail for support when getting out of bed, and demonstrated that the rail extended outward when grabbed. A registered nurse confirmed the improper attachment and was unable to reattach the rail during the observation. The findings were further confirmed by the Clinical Marketing Director during a later observation. The deficiency centers on the facility's failure to maintain the resident environment as free from accident hazards as possible, specifically regarding the unresolved issue with the bed side rail used by a resident for mobility support.

See complete original report
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