Failure to Maintain Infection Control for Oxygen Equipment
Penalty
Summary
The facility failed to maintain proper infection prevention and control measures for two residents who required oxygen therapy. For one resident with COPD, anxiety disorder, and anemia, observations revealed that the oxygen tubing and cannula in use were not dated, and the tubing on both the concentrator and portable oxygen were missing date and time labels. During a meal observation, this resident was seen wearing oxygen with tubing and cannula that were not dated or stored in a bag. Another resident with cerebral palsy, diabetes mellitus, seizure disorder, and acute respiratory failure with hypoxia was also found to have deficiencies in oxygen equipment management. The oxygen tubing connected to the concentrator in the resident's room was observed on the floor and, although dated, was not stored in a bag. During a meal observation, this resident was also seen wearing oxygen with tubing and cannula that were not dated or bagged. The MDS Coordinator confirmed these findings and stated that the expectation is for all tubing and cannulas to be changed weekly as ordered and kept in bags, not on the floor or on wheelchairs.