Failure to Maintain Resident's Dresser in Good Repair
Penalty
Summary
A deficiency was identified when a resident's dresser was found to be in disrepair, with the bottom drawer hanging out and not on track, and the middle drawer missing its front part. The resident, who has a history of hemiplegia and hemiparesis following a cerebral infarction, as well as other paralytic syndromes, reported that the dresser had been in this condition for some time. The resident, who is moderately cognitively impaired according to a BIMS score of 12, stated that the middle drawer had been missing for a while and the bottom drawer frequently fell out. Observations confirmed the ongoing issues with the dresser over multiple days, and the resident indicated limited use of the dresser due to its condition. A review of the facility's maintenance tracking logs for several months showed no documentation regarding the need for repair of the resident's dresser. The Maintenance Director was unaware of the issue and stated that repairs are typically reported by floor staff via a maintenance repair form, and that routine room checks are not conducted due to time constraints. The facility's policy requires routine upkeep and timely repairs to ensure a safe and comfortable environment, but there was no evidence that the broken dresser had been reported or addressed prior to the survey.