Failure to Provide Adequate Bed Accommodations
Penalty
Summary
The facility failed to provide reasonable accommodation for the needs of two residents, R215 and R165, as required by regulations. Resident R215, who is 6 feet 3 inches tall and weighs 225 pounds, was admitted to the facility and immediately experienced discomfort due to the bed being too small. The resident's feet pressed against the footboard, causing numbness, and the narrow width of the bed left little room for repositioning, leading to fear of falling. Despite a maintenance request for a bed extender being placed shortly after admission, the resident continued to experience discomfort and fear due to the inadequate bed size. Interviews with the nursing supervisor and the nursing home administrator confirmed the issue and the ongoing efforts to obtain a bed extender. Similarly, Resident R165 was observed with their foot on the footboard and a pillow under the ankle, indicating the bed was too short. The resident reported being unable to raise the head of the bed without placing their foot on the footboard. An interview with the administrator confirmed the bed was too short for the resident and that a bed extender could be utilized. These observations and interviews highlight the facility's failure to provide appropriate accommodations for the residents' needs, as required by regulations.
Plan Of Correction
1) Resident 215 and Resident 165 were both provided appropriate bed size with appropriate length. 2) Current residents that are taller than 6ft have been audited by the Maintenance director/designee to ensure that the bed size is appropriate for resident. 3) The Maintenance Director will be educated by the Nursing Home Administrator / designee on appropriate bed size and extensions available for residents. 4) Random audits of new admission and beds that are appropriate in length are put in place to meet residents' needs. Audits will be conducted weekly x 3 weeks, then monthly x 2 or until compliance is sustained. Variances will be addressed and reported to the QAA committee.