Failure to Provide Bed Linen for Resident
Penalty
Fine: $38,225
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 with diagnoses of type 2 diabetes, cerebral vascular disease, and chronic obstructive pulmonary disease was observed lying on a draw sheet without bed linen on their bed. The resident, who was cognitively intact and required two-person physical assistance for bed mobility, transfers, and toilet use, reported that the lack of bed linen was a frequent problem and that previous reports to nursing staff had not resulted in any change. A certified nursing assistant confirmed that the absence of bed linen was a recurring issue, particularly for residents using bariatric beds. The executive director was notified of the situation after the observation.