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F0584
D

Damaged Mattress Not Replaced for Resident

San Bernardino, California Survey Completed on 04-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency was identified when a resident's mattress was observed to be peeled, discolored, and in disrepair. During an observation in the resident's room, the mattress was found to be damaged at the foot of the bed while the resident was lying in it. The facility's policy requires that equipment in need of repair or replacement be addressed by contacting the vendor, but the mattress remained in use in its deteriorated condition at the time of the survey. The resident involved had a medical history including morbid obesity, type 2 diabetes mellitus with circulatory complications, and anxiety disorder. The facility administrator acknowledged the condition of the mattress during the survey and reviewed the facility's policy, which outlines procedures for repair or replacement of equipment. However, the mattress had not been replaced or repaired prior to the surveyor's observation.

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