Failure to Maintain Secure Handrails in Hallways
Summary
The facility failed to ensure that corridors were equipped with firmly secured handrails on each side, which increased the risk of falls for residents using the handrails for assistance with walking. During an observation in the Station 2 Hallway, a handrail was found to be broken and loose, and another was missing a curved piece of wood, exposing the metal bracket and screws. This deficiency was confirmed during an interview with the Maintenance Supervisor, who acknowledged that broken and loose handrails posed a risk of injury to residents. The Maintenance Supervisor stated that the facility used the TELS System to notify the maintenance department of repair needs, and any staff member could access this system. Despite being notified of the broken handrails, the curved ends were obsolete and could not be replaced. The facility's policy and procedure documents emphasized the importance of maintaining a safe, clean, and comfortable environment, with regular facility rounds and oversight by the Executive Director, Director of Nursing, and Maintenance/Housekeeping Supervisor. However, the failure to maintain the handrails in good condition was a deviation from these policies.
Penalty
Resources
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The facility failed to provide secured handrails in the hallway of the 200 unit, potentially affecting 15 independently mobile residents. During a tour, it was observed that no handrails were affixed to the walls. The Administrator confirmed this absence, stating that the unit was being remodeled and handrails needed to be ordered. This issue was investigated under multiple complaint numbers.
The facility failed to ensure handrails were in good repair, potentially affecting all residents. During an observation, a missing portion of the handrail was noted across from the 300-hall dining/activity area and next to the area where puzzles were kept. The Maintenance Assistant verified the observation and stated he did not know how long it had been that way but would get it fixed.
Lack of Secured Handrails in 200 Unit Hallway
Penalty
Summary
The facility failed to ensure that there were secured handrails throughout the hallway on the 200 unit, which had the potential to affect 15 independently mobile residents residing in that unit. During an initial tour of the 200-hall, it was observed that there were no handrails affixed to the walls. This observation was confirmed in an interview with the Administrator, who acknowledged the absence of handrails and mentioned that the unit was undergoing remodeling, and he would need to order them. This deficiency was investigated under Master Complaint Numbers OH00156054, OH00155202, and OH00155184.
Handrails in Disrepair
Penalty
Summary
The facility failed to ensure handrails were in good repair, which had the potential to affect all residents. During an observation on 04/25/24 at 11:13 A.M., a missing portion of the handrail was noted across from the 300-hall dining/activity area and next to the area where puzzles were kept. The Maintenance Assistant (MA) verified the observation and stated he did not know how long it had been that way but would get it fixed. This deficiency was investigated under Master Complaint Number OH00153331 and Complaint Number OH00153001.
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