Failure to Secure Bed Rails Creates Accident Hazard
Penalty
No penalty information released
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 maintain a safe environment free from accident hazards by not ensuring that bed rails were properly secured for a resident. Record review showed that the resident had chronic obstructive pulmonary disease, bipolar disorder, dementia, and hyperlipidemia, and was dependent on staff for all activities of daily living, including bed mobility. The care plan required the use of half side rails for turning and repositioning. Observations on two consecutive days revealed that the left side rail on the resident's bed was loose. This finding was confirmed by the Maintenance Supervisor during a subsequent observation.