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F0909
F

Failure to Conduct Routine Bed Frame and Bed Rail Safety Inspections

Broken Arrow, Oklahoma Survey Completed on 08-28-2025

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

The facility failed to conduct routine safety inspections of bed frames and bed rails for three of four sampled residents reviewed for accident hazards. Observations showed that these residents were using beds with 1/8 sized side rails attached to the bed frames. When questioned, the maintenance staff member confirmed that no inspections of bed frames or side rails had been performed and that there were no records of such inspections. The maintenance staff also indicated a misunderstanding regarding what constituted a bed rail, as they did not consider the smaller side rails in use as bed rails. It was identified that 46 beds in the facility had side rails attached, but no inspection records were available.

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