Failure to Ensure Proper Cleaning and Storage of CPAP Equipment
Penalty
Summary
The facility failed to ensure proper cleaning and storage of respiratory equipment for two residents who required CPAP therapy. One resident, who was cognitively intact and had a history of heart failure and pneumonia, was observed multiple times with a CPAP mask left unprotected on personal items at the bedside, exposed to dust and debris. The resident expressed concern about the cleanliness of the mask and stated that staff assisted with mask removal but was unsure if it was cleaned as required. Staff interviews revealed confusion about cleaning responsibilities, and review of physician orders and care plans confirmed that daily cleaning was required but not consistently performed or documented. Another resident, who was cognitively impaired with diagnoses including dementia, partial paralysis, and Parkinson's disease, was also observed with a CPAP mask covered by a fabric but still left on personal items and exposed to dust and debris. The mask was sometimes covered with a stuffed animal on top. Staff interviews and policy review indicated that the mask should be cleaned daily and protected, with fabric coverings switched out daily due to the resident's skin sensitivity. However, observations showed that these procedures were not consistently followed, and the resident's care plan did not include a comprehensive treatment plan for CPAP use.