Failure to Replace Mechanical Lift Batteries
Penalty
Summary
The facility failed to maintain mechanical lifts in safe operating condition by not replacing battery packs as per the manufacturer's instructions. The ArjoHuntleigh Lifter Battery Pack SPL3021, used in the facility's mechanical lifts, has a variable battery life of 2-5 years, depending on proper charging practices. Observations and staff interviews revealed that the batteries were losing charge quickly, making it difficult for staff to provide timely and safe care to residents. The batteries were not being recharged regularly, and some were not removed from the lifts when not in use for extended periods. During observations, several battery chargers and batteries were found with dates indicating they were over seven years old, exceeding the manufacturer's recommended lifespan. The Maintenance Director confirmed that nine batteries were over seven years old, and two were over three years old, acknowledging that they should be replaced according to the manufacturer's instructions. Despite staff concerns about the batteries' age and performance, the facility believed there were enough backup batteries to complete their work. The Nursing Home Administrator acknowledged the facility's ongoing efforts to update and improve the building, including replacing batteries as feasible.
Plan Of Correction
The facility evaluated the number of lifts required on each floor to meet resident needs based on the current census. One Arjo sit to stand lift and one Arjo hoyer lift were made available on each floor. All other lifts were stored for future use. The facility purchased eight (8) new lift batteries, one for each lift and one back-up for each lift. All new batteries will be labeled with the date. The maintenance director will keep purchase records. When the census increases and if additional lifts are needed, additional batteries will be purchased at that time. The Maintenance Director will round daily M-F x2 weeks to check battery chargers to ensure the green light was lit and batteries are charging. The Maintenance Director will inspect new batteries on a quarterly basis to ensure batteries are holding a charge. Results of quarterly inspections will be brought to the safety committee for review.