Failure to Ensure Proper Storage of CPAP Equipment
Penalty
Summary
The facility failed to ensure proper storage of respiratory equipment, specifically a CPAP machine, for a resident with chronic diastolic congestive heart failure. Observations over several days revealed that the CPAP mask and tubing were not stored appropriately when not in use. The mask was found on the bed above a pillow, hanging down behind the bed, and on the floor at the head of the bed. The humidifier chamber was observed to be full of water, and there was no designated bag or container for storing the mask. The resident confirmed long-term use of the CPAP machine. Interviews with nursing staff indicated a lack of consistent protocol for the storage and handling of CPAP equipment. One LVN acknowledged that the mask should be stored in a bag, but none was available. Another LVN described her role as limited to assisting with water refills and mask application, with no further involvement in equipment storage. The administrator confirmed that staff were expected to follow appropriate protocols for cleaning and storing CPAP equipment, which was not observed in practice.