F Tag 603 Free from Involuntary Seclusion Surveys "Failed to..." Survey 1: B, identify the clinical criteria for, and/or document the resident/representative inclusion in, the decision for placement on the unit, and/or failed to document that information for independent egress had been provided. Survey 2: D, provide an environment free from involuntary seclusion. Survey 3: D, prevent involuntary seclusion. Survey 4: D, prevent involuntary seclusion. Survey 5: D, ensure residents were free from involuntary seclusion when a CNA secured the doorknob of the shared room with a pillowcase to prevent resident from leaving. Survey 6: D, protect a resident from involuntary seclusion. Survey 7: D, transfer residents from the COVID isolation unit to their regular room to prevent unnecessary and involuntary isolation and seclusion. Survey 8: D, ensure Residents were free from involuntary seclusion. Survey 9: E, ensure that residents were free from involuntary seclusion. Survey 10: E, follow their abuse policy by involuntarily holding residents on the second-floor dining room for multiple hours. Survey 11: E, ensure each resident has the right to be free from involuntary seclusion. Residents were kept in transmission-based precautions longer than the fourteen-day observation period for COVID-19. Survey 12: E, identify the resident's specific clinical criteria for the Secured Memory Care Unit for elopement risk. Survey 13: E, ensure all residents were free from involuntary seclusion. Survey 14: E, Residents were residing in the secure memory unit without physician orders and medical symptoms. Survey 15: E, Seventeen residents were residing in the secure memory unit without physician orders. Survey 16: G, keep a resident free from involuntary seclusion by not allowing a resident to discharge from the facility against medical advice immediately. Survey 17: G, ensure Resident was kept free from involuntary seclusion which resulted in psychosocial harm. Survey 18: ensure Resident had the right to be free from involuntary seclusion imposed for staff convenience. RN wheeled Resident to an empty and dark resident's room, moved a linen cart to partially block the door, left the room without turning on the lights. Survey 19: G, ensure resident was free from involuntary seclusion. LPN put the resident in his/her room; slammed the door shut and yelled at the resident "stay in that room and do not come back out". Survey 20: G, ensure a resident's right to be free from involuntary seclusion for one of one resident. Resident displayed no behaviors and remained in the Secured Dementia Unit for 10 months. Survey 21: G, ensure residents were free from involuntary seclusion when cognitively intact residents were not afforded the opportunity to go outside without an escort of staff. Survey 22: H, develop, implement, and operationalize policies and procedures to ensure that residents were assessed for appropriate placement in a locked unit and provided immediate access for visitation. Survey 23: H, ensure Resident was not involuntarily secluded by remaining on contact isolation for an extended period of time after she was no longer showing signs and symptoms. Survey 24: H, ensure Residents were not involuntarily secluded on the quarantine hall after testing negative for COVID-19. Survey 25: J, ensure a resident was free from abuse/involuntary seclusion. Resident was involuntarily secluded in his room when an unidentified person tied a plastic bag from door handle to the hallway handrail. Survey 26: J, ensure a resident was free from involuntary seclusion. Dirty linen cart and a Hoyer lift was in front of the Resident's door.