Mechanical Lift Transfer Performed Without Required Two-Person Assistance
Penalty
Summary
A deficiency occurred when a certified nurse's aide (CNA) transferred a resident from bed to wheelchair using a mechanical lift without the required assistance of a second staff member. The CNA performed the transfer alone, stating she felt capable and that the resident trusted her to do so. However, both a registered nurse and the head nurse confirmed that facility policy mandates two staff members for all mechanical lift transfers to ensure resident safety. Review of the facility's policy and training materials further confirmed that at least two nursing assistants are required for such transfers, and the CNA had completed relevant training. The incident was observed directly by surveyors and confirmed through staff interviews and record review.