Kimball County Manor
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
identified or implemented, stating they did not believe the fall occurred because the resident would not have been able to get off the floor without assistance. C. A record review of Resident 2's Face Sheet revealed the resident was admitted to the facility on [DATE REDACTED]. Resident 2 had diagnoses of dementia, hemiplegia (one-side paralysis), and weakness. A record review of Resident 2's MDS, dated [DATE REDACTED], revealed the resident had a BIMS score of 5/15, which indicated sever cognitive impairment. Resident 2 required full assistance with toileting and dressing. Resident 2 also required moderate assistance with bed mobility and transfers. A record review of an Event Report for Resident 2 with a date of 7/8/2025 revealed the resident was self-ambulating to the bathroom when they bent down to retrieve a tissue from the floor and lost their balance, resulting in a fall. The intervention implemented was the application of gripper socks while ambulating. There was no evidence of a root cause analysis beyond balance was conducted or additional fall prevention interventions were developed to address the mobility deficit. An interview on 8/27/2025 at 10:45 AM with the NHA and DON revealed that the root cause of Resident 2's fall on 7/8/2025 was identified as a loss of balance and underlying weakness. The NHA and DON confirmed the fall was unwitnessed, and since it was unclear whether the loss of balance was related to the resident's foot slipping, no additional interventions beyond gripper socks were developed or implemented.
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Kimball County Manor in Kimball, NE 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 Kimball, NE, (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 Kimball County Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.