Oxygen Equipment Maintenance Deficiency
Penalty
Summary
The facility failed to maintain oxygen equipment in a functional and sanitary manner for two residents. Resident 13, who was admitted with chronic obstructive pulmonary disease (COPD) and hypertension, had a physician's order for oxygen therapy at 4.0 liters per minute. An observation revealed that the oxygen concentrator filter was missing from the unit, which was confirmed by a licensed practical nurse (LPN) and the Nursing Home Administrator. Resident 24, diagnosed with moderate persistent asthma and dependent on supplemental oxygen, had a physician's order for oxygen therapy at 2.0 liters per minute as needed. During an observation, the oxygen concentrator filter was found to be visibly covered in dust. This condition was also confirmed by the LPN and the Nursing Home Administrator, indicating non-compliance with the facility's policy for maintaining oxygen delivery equipment.
Plan Of Correction
1. Resident 13 and 24's oxygen concentrator filters are clean and in place. 2. An oxygen concentrator audit was completed to ensure filters are clean and in place. 3. Licensed Nursing staff were re-educated on the Maintenance of Oxygen Delivery policy. The Infection Control Nurse will complete weekly audits of oxygen concentrators to ensure compliance. 4. The Infection Control Nurse or designee will conduct an audit of oxygen concentrators weekly x 4 weeks then monthly x 2 months to ensure appropriate maintenance. The results will be submitted to the QAPI Committee for review and analysis of need for ongoing monitoring.