Failure to Remove Worn and Damaged Mechanical Lift Slings from Service
Penalty
Summary
The facility failed to ensure that the environment remained as free from accident hazards as possible by not removing worn and damaged mechanical lift slings from service. Observations revealed that a resident who was dependent for all transfers and required a mechanical lift was using a sling with faded straps and an illegible care tag. The resident confirmed that staff used this sling for her transfers. Additional observations in the laundry area found slings with similar issues, including faded colors and illegible tags, being processed and prepared for use. Interviews with the Laundry Supervisor and Laundry Aide indicated a lack of consistent training and understanding regarding the criteria for removing slings from service. The Laundry Supervisor had not received specific training on lift sling requirements and had never removed a sling from service, while the Laundry Aide only removed slings with visible rips or holes, not recognizing faded or bleached slings as unsafe. Both staff members described laundering practices that included the use of bleach and medium heat drying, contrary to manufacturer instructions, which specifically prohibit bleaching and recommend low-temperature drying. Review of facility policy and manufacturer instructions confirmed that slings showing signs of wear, fading, or improper laundering should be immediately removed from use. Despite these guidelines, slings with faded straps and illegible tags continued to be used for resident transfers. Interviews with facility leadership, including the DON and Administrator, revealed a lack of awareness regarding manufacturer guidelines and the unsafe condition of the slings being used.