Failure to Assess Resident Prior to Bed Rail Installation
Penalty
No penalty information released
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
Surveyors found that the facility failed to assess a resident for the use of bed rails prior to their installation. Observations on two separate occasions showed that bed rails were up on both sides of the resident's bed. The facility's policy requires a comprehensive assessment of various risk factors before bed rails are used, including medical diagnosis, cognitive status, mobility, and risk of entrapment. Record review revealed that the resident had a severely impaired cognitive status, as indicated by a BIMS score of three. The administrator confirmed that no assessment was completed before the bed rails were put in place, despite the policy and the resident's condition.