Failure to Properly Clean and Maintain CPAP Equipment
Penalty
Summary
Facility staff failed to properly clean and maintain CPAP equipment for two residents, as required by both facility policy and manufacturer guidelines. Observations revealed that CPAP machines, masks, and tubing were dusty, had white flaky debris, and filters were coated with grime and dust. The equipment was not stored in bags when not in use, and tubing was not dated. Additionally, there was no care plan in place for the use or care of the CPAP machine for one resident, and physician orders did not include instructions for cleaning the CPAP equipment. The facility's policy required cleaning and disinfection of resident care equipment according to CDC and OSHA standards, and the manufacturer's instructions specified daily and weekly cleaning of CPAP components. Residents involved had significant medical conditions, including Alzheimer's disease, obstructive sleep apnea, and severe cognitive impairment, and were dependent on staff for care. Despite these needs, staff did not follow established cleaning protocols, as confirmed by the Director of Nursing, who stated that CPAPs were expected to be cleaned weekly by night shift nurses using a vinegar and water solution, and that masks should be stored in bags when not in use. These actions and inactions led to the deficiency in providing safe and appropriate respiratory care.