Trapeze Device Not Accessible for Bed Mobility
Penalty
Summary
A deficiency was identified when a resident's trapeze, an assistive device for bed mobility, was not accessible on multiple occasions. Observations showed that the trapeze was flipped over the stabilization bar and out of the resident's reach while she was in bed. When asked, the resident confirmed she was unable to reach the device and demonstrated her inability to access it. The care plan indicated a preference for the trapeze to assist with bed mobility, and records confirmed the resident was assessed as safe to use it. Despite the care plan and assessment, the trapeze remained inaccessible during several observations, and staff were unsure if it had been repositioned during care and not returned to an accessible position. The resident's medical history included diabetes, dementia, atrial fibrillation, and hypertension. The deficiency was based on the failure to ensure the assistive device was within reach as required to maintain or improve the resident's range of motion and mobility.