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Freedom from Abuse & Neglect42 CFR §483.12(a)
F0604 — Not Use Verbal, Mental, Sexual or Physical Abuse
F0604 addresses the specific prohibition against staff using verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion against residents. It's often cited when a specific staff-to-resident incident is substantiated, in contrast to F0600's broader framing.
Common Deficiency Examples
- Substantiated verbal abuse (yelling, demeaning language) toward a resident
- Involuntary seclusion not meeting the clinical/safety exception criteria
- Physical handling exceeding what was clinically necessary
- Documented pattern of dismissive or punitive staff behavior toward a resident
What Your Plan of Correction Needs
F0604 PoCs typically center on personnel action alongside the standard elements:
Incident factsspecific behavior substantiated, without minimizing
Immediate actionpersonnel action taken and resident support/monitoring put in place
Systemic fixtargeted retraining, supervision changes, or screening adjustments
Monitoring planresident/family check-ins and staff observation audits at a defined frequency
Frequently Asked Questions
How is F0604 different from F0600?+
F0600 is the general "free from abuse and neglect" right; F0604 is the specific prohibition on staff committing verbal, mental, sexual, or physical abuse. They're frequently cited together for the same substantiated incident.
Related tags in Freedom from Abuse & Neglect
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