Failure to Provide Proper CPAP Device Care and Maintenance
Penalty
Summary
The facility failed to provide proper care and maintenance of a Continuous Positive Airway Pressure (CPAP) device for a resident diagnosed with Obstructive Sleep Apnea. The resident was observed on two separate occasions with a CPAP device that was not in use, and the mask was not stored in a bag as required by facility policy. The CPAP filter was found to be moderately soiled during both observations, and the resident reported that staff had not cleaned the device in a long time. The resident also indicated that the storage bag provided by the facility was the same one given years prior, and staff did not check daily for proper storage or cleaning of the device. Review of the Medication Administration Record (MAR), Treatment Administration Record (TAR), and electronic medical record (EMR) tasks for the previous thirty days showed inconsistent documentation regarding the cleaning and maintenance of the CPAP device. While documentation alleged that the mask was cleaned once or twice daily and the filter was cleaned or changed weekly, direct observation contradicted these records, as the filter remained soiled and the mask was not properly stored. Facility policy required daily cleaning of the mask, weekly cleaning of the filter, and monthly replacement of the storage bag, none of which were consistently followed for this resident.