Heritage Specialty Care
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
#7 dated 11/5/2025 listed a weight of 210.8 Lbs. On 11/5/25 at 2:46 PM Resident #7 sat in the w/c in the lobby at the table with the full body lift sling under her, the tag read XXL. Staff B reported Resident #7's weight in the morning on 11/5/25 reflected 210 pounds. The Transfer Lift chart read that lift weight for an XXL is expected for 280 pounds +. On 11/5/25 at 2:49 PM Staff E, confirmed the staff used the wrong sling for R#6 & #7 transfers. On 11/6/25 at 8:12 AM Staff E reported the staff needed education of the lift sizing per the resident's weight. On 11/6/25 at 11:15 the DON reported she felt the staff can use a larger sling based on the fact she has upper body girth. She said the CNA's make a judgement on the size of the sling
they use. The Sling Color Sizing Code System, undated, identified large, Burgundy- 190-320 pounds, extra-large- 280-450 pounds, extra extra large 400-600 pounds.The NOTE! The size/weight designations are merely estimates and basic guidelines. A proper fit will depend on factors other than weight measurements, including the height and girth of a patient. A proper fit will involve the judgment of the caregiver.*It is important to evaluate the width of a patient in relation to the width of the sling.**It is important that no portion of the patient overlap the sides of the sling.Color Coding is used on the binding of slings. It is not used with specialty slings.It is important that the base of the sling be positioned two inches below the tailbone and the top of the sling is parallel with the top of the shoulder line (base of neck). The facility provided a policy titled Safe Lifting and Movement of Residents dated 7/2017, nursing staff, in conjunction with the rehabilitation staff, shall assess individual residents' needs for transfer assistance on
an ongoing basis. Staff will document resident transferring and lifting needs in the care plan. Such assessment shall include:a. Resident's preferences for assistance;b. Resident's mobility (degree of dependency);c. Resident's size;d. Weight-bearing ability;e. Cognitive status;f. Whether the resident is usually cooperative with staff; andg. The resident's goals for rehabilitation, including restoring or maintaining functional abilities.Enough slings, in the sizes required by residents in need, will be available at all times. As
an alternative, residents with lifting and movement needs will be provided with single-resident use disposable slings.
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Heritage Specialty Care in Cedar Rapids, IA 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 Cedar Rapids, IA, (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 Heritage Specialty Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.