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F0684
D

Failure to Ensure Safe Positioning During Geri Chair Mobility

Santa Monica, California Survey Completed on 05-04-2025

Penalty

No penalty information released
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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

A deficiency was identified when a resident with cognitive impairment and dependence on staff for activities of daily living was observed being transported in a geri chair with their feet dragging on the floor and their head partially unsupported. The certified nursing assistant (CNA) acknowledged during the observation that the resident's position was not good, noting that the feet were dragging and the head was not fully resting on the chair, which could potentially cause harm. The CNA stated she intended to reposition the resident to correct these issues. Further interview with the Director of Nursing (DON) confirmed that residents should be properly positioned in a geri chair, with feet off the ground, body in straight alignment, and head resting on the back of the chair for comfort and safety. Review of facility policy indicated a commitment to maintaining a safe environment and providing supervision and assistance to prevent accidents. The observed failure to ensure proper positioning during mobility represented a lapse in following these standards for resident safety.

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