Tripping Hazard Due to Improperly Secured Electrical Cord
Penalty
Summary
The facility failed to maintain a safe environment for its residents, as evidenced by an observation of an electrical cord creating a tripping hazard in a resident's room. The cord, which was connected to an air mattress, was wrapped around a side table and suspended in the air, posing a risk of tripping. This observation was made in the presence of a registered nurse, who was informed of the hazard by the surveyor. The resident involved had a history of acute failure and COVID-19, and was dependent on staff for transfers. The resident's care plan indicated a risk related to monoplegia of the right dominant side, and interventions were in place to follow facility protocol. Despite these measures, the tripping hazard was not addressed until it was pointed out by the surveyor. The facility's policy on safety and supervision emphasizes the importance of maintaining an environment free from accident hazards. Employees are expected to be trained to identify and report potential hazards. However, the presence of the tripping hazard suggests a lapse in adherence to these policies, as the electrical safety risk was not mitigated until after the surveyor's intervention.
Plan Of Correction
N0110-Physical Environmental-Safe Clean, Homelike Identify patients that were at risk and what did: Patient #2 bed cord was identified by surveyor and told Administrator; the director of plant operations was instructed to tie all the to the frame to be removed from any potential trip hazard. Thereafter, a full house audit was completed after surveyors identified the issues on potential tripping hazards. All rooms were checked for safety on. How will you identify other patients that are at risk: A full house audit was completed after surveyors identified the issues on potential tripping hazards. All rooms were checked for safety. Staff were also inserviced on to discuss the risk of tripping hazards. Measures put in Place: On and Staff were inserviced on all risk and precautions and safety measures that required. Upon admission, resident rooms are assessed for room safety. The supervisor that is on site will provide a new QAPI Comprehensive Supervisor Rounding tool form that spot checks rooms with any potential trip hazards such as any electronic charging devices. We have also added to our Gang Tackling Quality programs where scheduled rooms are checked monthly to ensure that any findings out normal are addressed immediately and reported to Management. The Forms are part of Housekeeping and Maintenance department QAPI Tracking. Training occurred on staff were also provided with 6-point training on overall safety hazards and the risk associated. The supervisor form will be handed to DON for compliance tracking. How will you monitor: The DON /Maintenance and Housekeeping Supervisors will be responsible for bringing the findings and summary to the QAPI Committee. This will occur Monthly for 3 months, then quarterly and or if any variances are reported ongoing.