Use of Physical Restraint Without Medical Authorization
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
A deficiency was identified when a resident was observed in a pedal broda chair with the leg rest elevated and two of the four wheels locked, which restricted the resident's ability to move freely. The resident was seen struggling to propel the chair and appeared agitated. Staff interviews confirmed that the wheels were intentionally locked to prevent the resident from moving around due to restlessness. Review of the resident's medical records, including physician's orders, assessments, and care plan, revealed no documentation or interventions authorizing the use of the locked wheels as a restraint. The Director of Rehab confirmed that the chair was provided for mobility, not restraint.