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
L

Failure to Prevent Accidents and Maintain a Safe Environment

Leesburg, Virginia Survey Completed on 05-21-2025

Penalty

Fine: $5,712
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

Facility staff failed to assess a resident's ability to safely spend time unsupervised on the courtyard patio and did not provide adequate supervision or a safe environment in that area. The resident, who had a history of congestive heart failure, muscle wasting, dementia, and cognitive impairment, was found unsupervised on the patio and sustained a fall resulting in a head injury, laceration requiring staples, and a cervical vertebral fracture. The resident's care plan did not address outdoor supervision, and multiple prior falls and high fall risk assessments were documented. Staff interviews revealed inconsistent understanding and documentation regarding the use of safety devices such as wander guards, and no evidence was found that the resident had been properly assessed for unsupervised outdoor access. Additionally, the facility failed to maintain a safe environment in the resident's bedroom, where a hazardous aerosol varnish spray was found. The material safety data sheet for the product indicated it was extremely flammable, hazardous, and carcinogenic, and staff acknowledged it should not have been accessible to residents. The presence of this substance in the resident's room was confirmed through observation and staff interviews. The facility also failed to provide a safe environment and adequate supervision to prevent accidents for another resident with a known history of unsupervised smoking. This resident caused a fire by discarding a lit cigarette in a trash can on the enclosed patio, resulting in property damage. Documentation and interviews indicated that the resident continued to access smoking materials and areas unsupervised, despite being identified as unsafe to smoke and having a history of wandering. The care plan and clinical record lacked appropriate interventions and monitoring for smoking-related hazards, and staff were inconsistent in their handling and storage of the resident's smoking materials.

An unhandled error has occurred. Reload 🗙