Community Hospital Of San Bernardino Dp Snf
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Instructions: .Before lifting always make certain that: .the lifting accessories is selected appropriately in terms of type, size, material and design with regard to the patient's needs; lifting accessories are not damaged; the lifting accessory is correctly applied to the lifting equipment; the lifting accessory is correctly and securely applied to the patient, so that no personal injury can occur. During a concurrent interview and
record review on October 10, 2025, at 3:00 PM, with the Clinical Director (CD), the facility's policy and procedure (P&P) titled, Safe Patient Handling and Mobility Program, revised July 2023, was reviewed. The P&P stated, .Supporting a culture of safety and accountability by setting expectations for the utilization of safe patient handling and mobility techniques and technology by staff. The CD stated, the facility did not follow the P&P. During a phone interview on October 16, 2025, at 1:12 PM, with the Administrator (Admin),
the Admin stated that there were no issues with the Hoyer lift machine, and it was in working condition prior to Resident 1's fall incident. The Admin further stated, the nursing staff were at fault and should have been more careful regarding proper Hoyer lift usage and safety to prevent similar errors in the future. During a phone interview on October 17, 2025, at 12:57 PM, with MS 2, MS 2 stated, the Hoyer lift was last inspected in October 2024, it was scheduled for annually (once a year) inspection, so it would be due for maintenance again by the end of October 2025. MS 2 further stated that the separation of the attaching C clasp on the scale portion of the Hoyer lift from the C clasp of the lifting strap was probably caused by whoever did it [secure the attachment] didn't hook it up properly. They probably didn't notice it [C clasp] wasn't seated properly. I don't know how else it would fall like that. It doesn't make sense .
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COMMUNITY HOSPITAL OF SAN BERNARDINO DP SNF in SAN BERNARDINO, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAN BERNARDINO, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COMMUNITY HOSPITAL OF SAN BERNARDINO DP SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.