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F0689
E

Unsafe Mechanical Lifts Used for Resident Transfers

Macomb, Illinois Survey Completed on 06-23-2025

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

The facility failed to ensure that mechanical lift machines used for transferring dependent residents were safe and in proper working condition. Observations revealed that one mechanical lift (model HPL700) wobbled from side to side and had casters that did not roll smoothly. Additionally, a bolt at the bottom right-side axle had been replaced with an incorrect, non-manufacturer bolt. During a transfer, a resident expressed concern about the lift's instability and squeaking. Another mechanical lift (model 450/600) had a malfunctioning remote that would stop working mid-transfer, requiring the cord to be wiggled to function. These issues were demonstrated by a CNA, who confirmed ongoing problems with both lifts, including faulty wiring and improper repairs. Interviews with staff indicated that the maintenance department was unaware of the mechanical lift issues, as the building did not have a maintenance supervisor and the acting maintenance staff had not been informed of the problems. The regional administrator acknowledged that staff should have reported the broken lifts and that the equipment needed to be taken out of service. The facility's failure to maintain the mechanical lifts in safe and good repair directly affected five residents who required mechanical lifts for transfers.

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