Failure to Securely Store Oxygen Cylinders
Penalty
Summary
The facility failed to provide a safe environment by not securely storing oxygen cylinders in both the only oxygen room and the only CNA room. On observation, a free-standing oxygen cylinder was found in the CNA room without a rack, chain, or strap, and staff confirmed it was unsecured and acknowledged this as a safety risk. Further observation revealed four additional free-standing oxygen cylinders in the oxygen room, also without proper securing devices, despite available space in the rack. The administrator was unaware of the reason for the unsecured cylinders and confirmed that they should be secured to prevent them from falling. Additionally, the facility did not have a policy on oxygen storage. These findings were based on direct observation, staff interviews, and record review.