Failure to Secure Equipment and Maintain Safe Hallways
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public in two of three halls reviewed. On multiple occasions, surveyors observed unlocked Hoyer lifts, bed frames, and beds left in the hallways of Halls 100 and 400. Additionally, a pallet with boxes was found upright against a wall near a storage supply closet. These items were not properly secured or stored, creating potential fall and injury concerns for residents. Interviews with CNAs, an LVN, the DON, the Central Supplies Coordinator, the Maintenance Director, and the Administrator revealed inconsistent understanding and practices regarding responsibility for securing and storing equipment. Staff members variously stated that CNAs, nursing staff, or everyone was responsible for locking and storing Hoyer lifts and other equipment after use. The Central Supplies Coordinator and Maintenance Director described their roles in removing pallets and boxes, but acknowledged that these items were sometimes left in hallways. The facility's admission packet indicated residents have a right to a safe, clean, comfortable, and homelike environment.