Insufficient Mechanical Lift Slings Result in Residents Left in Bed
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public by not having sufficient mechanical lift slings available for all residents who required them. Multiple residents who depended on mechanical lifts for transfers, including those with conditions such as multiple sclerosis, osteoporosis, Alzheimer's disease, and osteoarthritis, reported being left in bed due to the unavailability of clean or accessible slings. These residents were cognitively intact and expressed frustration and emotional distress over missing activities and being unable to participate in daily routines because of the lack of slings. Interviews with residents revealed that the issue of missing slings occurred intermittently, with some residents stating it happened once or twice a month, and others recalling being left in bed for several days. Staff interviews confirmed that the facility occasionally ran out of clean slings, particularly when laundry could not keep up with demand or when shifts overlapped and slings were not yet available. Staff also noted that the number of residents requiring mechanical lifts had increased, further straining the supply of slings. Documentation review showed that the facility had 14 residents using slings and 19 slings available, with new slings being ordered monthly. However, there was no policy or list provided regarding essential equipment, and complaints about sling shortages had been documented in the facility's complaint book. The lack of sufficient slings led to residents being left in bed and missing out on activities, as confirmed by both resident and staff interviews.