Unsecured Oxygen Cylinder in Resident Room
Penalty
No penalty information released
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
During an observation, a resident was found sitting in bed with an unsecured oxygen cylinder placed in the right corner of the room, rather than being properly secured on a stand. The resident had a physician's order for oxygen administration via nasal cannula, with instructions for monitoring skin integrity and using humidification as needed. The Director of Nursing confirmed in an interview that oxygen cylinders are required to be secured on a cart and should not be stored loose in resident rooms, acknowledging the risk of the cylinder falling. Review of the facility's policy and procedure on compressed gases and oxygen usage also specified that cylinders must be secured at all times to prevent them from falling.