Failure to Secure Oxygen Cylinder
Penalty
Fine: $41,600
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 secure an oxygen cylinder for one resident, resulting in the oxygen tank being left unsecured next to the resident's recliner while not in use. According to the facility's oxygen safety policy, all oxygen cylinders, whether full, empty, connected, or unconnected, must be properly chained or supported in racks, sturdy portable carts, or approved stands to prevent them from falling. Observation confirmed the unsecured oxygen tank, and during an interview, the DON acknowledged that portable oxygen containers should not be stored unsecured in resident rooms, as this could cause an accident.