Lack of CPR-Certified Staff During Resident Transportation
Penalty
Summary
The facility failed to ensure that at least one staff member certified in cardiopulmonary resuscitation (CPR) was present during transportation of residents who had chosen Full Code status, meaning they requested full resuscitative measures in the event of cardiac or respiratory arrest. Review of staff credentials revealed that a Certified Nurse Aide (CNA) responsible for transportation did not have current CPR certification. Facility records showed that this CNA transported 17 residents with Full Code status to 52 separate offsite appointments without a CPR-certified staff member present. Administrative staff confirmed these findings and acknowledged that the absence of CPR-certified personnel during resident transport did not comply with the facility's policy, which requires CPR-certified staff to be available at all times. The facility's Code Status Listing indicated that more than half of the residents were Full Code, and several of these residents were transported without appropriate emergency support. The deficiency was identified through observation, interview, and record review.