Failure to Provide Appropriately Sized Bed for Resident
Penalty
Summary
A deficiency occurred when the facility failed to provide a bed that properly accommodated a resident who was 6'3" tall and had limited mobility due to hemiplegia, repeated falls, and diabetes. The resident was observed with their feet hanging off the end of the bed after the footboard was removed, and their representative reported that the resident would slide down in bed and required assistance to reposition. The issue persisted for at least three weeks, during which time the facility was unable to provide a longer bed, citing limited availability and prioritization of bariatric beds for other patients. Staff interviews confirmed that the facility's expectation was for all residents to have beds that fit their needs, and that additional beds could be rented if necessary. However, in this case, the resident's needs were not met, as acknowledged by both the Resident Care Manager and the Director of Nursing Services. The failure to provide an appropriately sized bed was directly observed and reported by both staff and the resident's representative.