Elder Care Record

Deficiency tags › F0909

F0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies. The wording is the CMS summary of the requirement; the full text is in the State Operations Manual, Appendix PP.

491citations, 3 survey cycles
459facilities cited3% of all certified homes
4at actual harm or immediate jeopardy1% of citations

By state

"Share" is citations divided by the number of certified facilities in the state, so a value over 100% means more than one citation per facility on average.

StateCitationsShare
Missouri10121%
California807%
Oklahoma4114%
Virginia3311%
Massachusetts288%
Illinois223%
Maryland2210%
Washington158%
Florida142%
Minnesota134%
Pennsylvania112%
Texas111%
Ohio101%
Maine1013%
South Dakota99%
New Jersey72%
Wisconsin72%
Michigan61%
Georgia51%
New York51%
South Carolina42%
Kansas41%
Iowa31%
Connecticut32%
New Mexico34%
Idaho34%
Louisiana31%
Delaware37%
Tennessee31%
Oregon22%
Rhode Island23%
Kentucky21%
Arkansas10%
Guam1100%
Nevada12%
Mississippi10%
Hawaii12%
Indiana10%

Most recent citations

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
Survey dateFacilityCityStateSeverity
24 Jun 2026Fondulac Rehabilitation and Health Care CenterEast PeoriaILD
6 Jun 2026Guam Memorial Hospital AuthorityBarrigadaGUF
2 Jun 2026Edenbrook LakesideMilwaukeeWID
21 May 2026Northgate Unit of Lakeview Christian HomeCarlsbadNMF
21 May 2026Laredo West Nursing and Rehabilitation CenterLaredoTXD
21 May 2026Accura Healthcare of CarlisleCarlisleIAE
19 May 2026Countryside Manor Nursing and Rehabilitation LLCFremontOHD
13 May 2026Arcadia Care AledoAledoILD
13 May 2026Aperion Care MidlothianMidlothianILE
30 Apr 2026Brewer Center For Health & Rehabilitation, LLCBrewerMED
25 Apr 2026Carrollton Manor, IncorporatedCarrolltonGAF
24 Apr 2026Claru Deville Nursing CenterFredericktownMOD
16 Apr 2026Kennebunk Center For Health & Rehabilitation, LLCKennebunkMEE
13 Apr 2026Courage Kenny Rehabilitation Institutes TrpGolden ValleyMND
27 Mar 2026Chautauqua Nursing and Rehabilitation CenterDunkirkNYD
26 Mar 2026Savoy Care CenterMamouLAD
25 Mar 2026Park Anaheim Healthcare CenterAnaheimCAE
19 Mar 2026Perimeter Rehabilitation Suites By HarborviewAtlantaGAD
19 Mar 2026Life Care Center of SullivanSullivanMOE
11 Mar 2026Lockport Rehab & Health Care CenterLockportNYD
11 Mar 2026Faith Healthcare CenterFlorenceSCD
5 Mar 2026Presbyterian Home of Sc - FoothillsEasleySCF
5 Mar 2026Clearview Nursing CenterSikestonMOD
3 Mar 2026Serenity Hill Nursing CenterWrenthamMAE
27 Feb 2026Nuuanu HaleHonoluluHID
26 Feb 2026Ghent Health and RehabilitationNorfolkVAD
24 Feb 2026Aspire Senior Living Roaring RiverCassvilleMOE
19 Feb 2026Granbury Care CenterGranburyTXE
17 Feb 2026Napa Post AcuteNapaCAD
13 Feb 2026Harrisonburg Hlth & Rehab CntrHarrisonburgVAF
12 Feb 2026Grossmont Gardens Healthcare CenterLa MesaCAD
29 Jan 2026Grove At Kirkwood, TheKirkwoodMOD
27 Jan 2026Eastport Memorial Nursing HomeEastportMED
22 Jan 2026San Juan Hills Healthcare CenterSan Juan CapistranoCAD
14 Jan 2026Grandview Healthcare CenterWashingtonMOE
12 Jan 2026Encore At ParksideNewarkDED
9 Jan 2026Independence Care Center of Perry CountyPerryvilleMOD
8 Jan 2026Avina of MilwaukeeMilwaukeeWIF
8 Jan 2026Aspire Senior Living Excelsior SpringsExcelsior SpringsMOE
22 Dec 2025Addison Heights Health and Rehabilitation CenterMaumeeOHD

Questions and answers

What does deficiency tag F0909 mean?

F0909 is cited when a nursing home fails to: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. It falls under environmental deficiencies in the CMS requirements for long-term care facilities.

How common is F0909?

491 citations at 459 facilities (3% of all certified nursing homes) over the three most recent survey cycles; 4 were at the actual-harm or immediate-jeopardy level.

Which states cite F0909 most?

Missouri (101), California (80), Oklahoma (41), Virginia (33), Massachusetts (28).