Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0689
D

Failure to Remove Damaged Mechanical Lift Slings from Service

Nacogdoches, Texas Survey Completed on 07-09-2025

Penalty

No penalty information released
tooltip icon
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

The facility failed to ensure that the environment remained as free from accident hazards as possible for two residents who required total assistance with transfers due to severe cognitive impairment and dependence in all activities of daily living. Observations revealed that both residents were using mechanical lift slings that were worn and damaged. One resident was observed in a Geri-chair with a blue mesh sling that had crinkled, faded, and unreadable labels, indistinguishable loop colors, and fraying on the black webbing. Another resident's wheelchair contained a sling with faded loops and tag. Interviews with staff indicated a lack of awareness regarding the condition of the slings and the criteria for removing them from service. The LVN was unsure about the safety of using slings with faded loops, and the ADON acknowledged uncertainty about whether CNAs knew what to look for when inspecting slings. The Housekeeping Supervisor described the laundering process and stated that slings were inspected for damage before being returned for use. The Clinical Services Director confirmed that slings should be removed from service if labels were unreadable or if there were signs of wear and tear. Manufacturer guidelines reviewed by surveyors specified that slings with signs of wear, color fading, or improper laundering should be immediately removed from use.

An unhandled error has occurred. Reload 🗙