Failure to Repair Broken Bed Foot Board
Penalty
Summary
A deficiency was identified when a resident, admitted with generalized anxiety disorder and malnutrition and noted to be cognitively intact, reported that the foot board of their bed was broken and had not been repaired. The issue was first noticed by the resident, who stated the foot board had been broken for several days. Observations confirmed that the foot board was unsecured and could be dislodged when pressure was applied. Two nursing assistants were aware of the broken foot board, having observed it was not secured and attempting to reinsert it, but neither notified maintenance. A review of maintenance work orders showed no request had been submitted for repair, and the Maintenance Director confirmed that staff were expected to report such issues electronically during their shift.