Failure to Remove Damaged Mechanical Lift Slings from Service
Penalty
Summary
The facility failed to ensure that the environment remained as free from accident hazards as possible for two residents who required total assistance with transfers due to severe cognitive impairment and dependence in all activities of daily living. Observations revealed that both residents were using mechanical lift slings that were worn and damaged. One resident was observed in a Geri-chair with a blue mesh sling that had crinkled, faded, and unreadable labels, indistinguishable loop colors, and fraying on the black webbing. Another resident's wheelchair contained a sling with faded loops and tag. Interviews with staff indicated a lack of awareness regarding the condition of the slings and the criteria for removing them from service. The LVN was unsure about the safety of using slings with faded loops, and the ADON acknowledged uncertainty about whether CNAs knew what to look for when inspecting slings. The Housekeeping Supervisor described the laundering process and stated that slings were inspected for damage before being returned for use. The Clinical Services Director confirmed that slings should be removed from service if labels were unreadable or if there were signs of wear and tear. Manufacturer guidelines reviewed by surveyors specified that slings with signs of wear, color fading, or improper laundering should be immediately removed from use.