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
E

Failure to Implement Effective Fall Prevention Interventions for High-Risk Residents

Orem, Utah Survey Completed on 05-01-2025

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 was as free from accident hazards as possible and did not provide adequate supervision or implement new interventions to prevent accidents for two high fall risk residents. One resident with multiple diagnoses including dementia, muscle weakness, morbid obesity, and unsteadiness on feet was documented as a high fall risk and experienced several falls within a short period. Despite being a full assist and having a history of falls, no new fall prevention interventions were documented in the medical record after each incident. Staff interviews confirmed that no additional interventions were implemented, and the resident was not on continuous observation, even though the resident had fallen multiple times in a short timeframe and was ultimately sent to the hospital after a change in condition. Another resident with epilepsy, brain deformity, unsteadiness, and muscle weakness was also identified as a high fall risk and experienced multiple falls over several months. After each fall, the interventions implemented were often repeated or limited to education and minor environmental changes, such as providing a non-slip mat or instructing on proper footwear. Despite the resident's cognitive delays, impulsivity, and difficulty following instructions, the interventions did not change significantly after repeated falls, and the care plan was not sufficiently updated to address the ongoing risk. Interviews with nursing staff and consultants revealed that both residents required frequent prompting and supervision due to their cognitive and physical limitations. However, the facility did not implement new or different interventions after repeated falls, and the care plans were not adequately revised to prevent further incidents. The lack of timely and appropriate updates to interventions and care plans contributed to the deficiency in maintaining a safe environment and providing adequate supervision for these high-risk residents.

An unhandled error has occurred. Reload 🗙