Failure to Ensure Resident Access to Oxygen and Call Light
Penalty
Summary
A resident with a history of stroke with left-sided weakness, chronic obstructive pulmonary disease, diastolic congestive heart failure, and depression was observed without access to her prescribed oxygen and call light. The resident had recently received assistance from staff to get dressed but was left without her oxygen reapplied. The oxygen concentrator and nasal cannula were placed on the opposite side of the bed, out of the resident's reach. The resident attempted to reach her call light to request staff assistance, but it was found coiled on the floor next to the bed, also out of reach. Facility policy requires that the call light be positioned within reach of the resident and that oxygen therapy be administered and stored safely. During the observation, the administrator confirmed that both the oxygen and call light were not accessible to the resident as required. The resident's care plan indicated she needed assistance with dressing and transferring, but staff failed to ensure her oxygen was reapplied and her call light was accessible after providing care.