Incompatible Bed Mattress and Frame Resulting in Unsafe Gap
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 ensure compatibility between a resident's bed mattress and bed frame. During observation rounds, a resident was found lying in bed with their legs dangling over a gap between the end of the mattress and the bed frame footboard. Further inspection and measurement by the Maintenance Director revealed an 8 ½ inch gap, and it was confirmed that the mattress was the wrong size and did not fit the bed frame. This deficiency was identified in one out of 25 resident beds reviewed during the survey. No information regarding the resident's medical history or condition at the time of the deficiency was provided in the report.