Failure to Provide Appropriately Sized Mattress for Resident
Penalty
Summary
A deficiency occurred when the facility failed to accommodate the needs and preferences of a resident whose mattress was too small for his bedframe. The resident, who had diagnoses including paraplegia, obesity, and depression, was cognitively intact and dependent on staff for activities of daily living. He expressed a preference for a larger mattress and reported having previously had one, which was removed. During observation, it was noted that the mattress did not fit the bedframe, and the resident stated that a larger mattress would be more comfortable. Staff interviews confirmed awareness of the issue. The LVN acknowledged the mattress was too small and that this could affect the resident's comfort and sense of safety. The Social Services Director was aware of the resident's request and had spoken to maintenance but did not document or follow up on the request. The DON also confirmed that the resident should have the correct size mattress to ensure comfort and dignity. Facility policies reviewed indicated that residents should be provided with a comfortable, homelike environment and that their individual needs and preferences should be accommodated.