F600 — Free from Abuse and Neglect
Facility failed to ensure each resident is free from verbal, sexual, physical, and mental abuse, corporal punishment, and involuntary seclusion. Includes resident-to-resident abuse the facility failed to prevent or address.
Reg cite · 42 CFR 483.12(a)(1)
92 surveys in corpus
19 states
What surveyors look for
- Abuse-prohibition policy reviewed annually with documented staff acknowledgment
- Investigation within 5 working days of any alleged abuse, with state-agency reporting on day 1
- Resident-to-resident incidents tracked with intervention plans for the aggressor and supervision adjustments for the victim
- Behavioral assessments and care-plan updates following any incident
Common gotchas
- Incident reports without follow-up investigation closure
- Reportable events that weren't reported to the state within 24 hours
- Staff training records that don't cover the seven types of abuse explicitly
- Resident-to-resident incidents minimized as 'consensual' without capacity assessment
Real survey examples
From CMS-published 2567s in our corpus. Resident identifiers redacted.
Level of Harm - Immediate
jeopardy to resident health or
safety
Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment,
and neglect by anybody.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2) RI #48 was
admitted to the facility on [DATE], with diagnoses to include Alzheimer's Disease and Dementia.
A Quarterly MDS assessment with an ARD of [date] identified RI #48 had a BIMS score of 03 of 15
which indicated RI #48 had severe cognitive impairment.
The Alabama Department of Public Health Online…
Level of Harm - Immediate
jeopardy to resident health or
safety
Residents Affected - Few
report the incident to Licensed Practical Nurse #11.
An interview was conducted with LPN #11 on [date], at 1:17 PM. During the interview, LPN #11 said
that on [date] CNA #8 reported that she felt CNA #10 was rough while attempting to provide care to
RI #48. LPN #11 said she immediately went in the room and completed a body audit with no negative
results found. LPN #11 then reported the incident to the weekend supervisor, administrator, responsible
party, and medical doctor. LPN #11 reported that CNA #10 wa…
Level of Harm - Immediate
jeopardy to resident health or
safety
Residents Affected - Few
Date: August 30, 2024
On [date] RI #398's family reported to Center Social Worker that an unnamed CNA had been rough with RI
#398
On [date] immediately after speaking with family, Center Social Worker notified the Administrator
Administrator spoke with RI #398 on [date], administrator failed to document interview with resident which
resulted in resident not being protected from potential further abuse
During the interviews, on [date], DON discovered that CNA #14 had reported to LPN #17 that she had an
inst…
Level of Harm - Immediate
jeopardy to resident health or
safety
Residents Affected - Few
Education was completed on August 31, 2024, with all staff present in the Center and for all staff available
via telephone communication. The total number of employees educated was 110. The Nurse Practice
Educator and/or designee will ensure employees unable to be reached after 3 attempts, those with
scheduled time off, on leave of absence (FMLA), vacation, or PRN will be re-educated prior to returning to
duty. New hires (full-time, part-time) will be educated on Abuse Prohibition policy during the orienta…
Level of Harm - Immediate
jeopardy to resident health or
safety
Residents Affected - Few
The facility further failed to substantiate the allegations as abuse.
These deficient practices affected RI #48 and RI #398, two of four sampled residents reviewed for
employee to resident abuse.
This deficiency was cited as a result of the investigation of FRI/complaint/report numbers AL00044697 and
AL00047200.
After retrospective Quality Assurance review and at the direction of Centers for Medicare and Medicaid
(CMS) Services Atlanta Location, the Statement of Deficiencies (FORM CMS-2567) was amended on
…
Accepted POC examples
Multiple Construction:
Name of Facility Surveyed:
Facility Address (Street, City, State. Zip Code)
Name of Accrediting Organization Performing Survey (if applicable):
ID Prefix
Tag
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency should be preceded by full
regulatory or LSC identifying information)
ID Prefix
Tag
Based on interview and record review,
the facility failed to adhere to the
participation requirements for long-term
care facilities, related to the lack of
appointing a licensed Nursing Home
Administrator, who has an active license
for Montana. This failure did not allow
t…
Related F-tags
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