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F0921
E

Failure to Maintain Safe and Comfortable Resident Equipment

Bell Gardens, California Survey Completed on 06-28-2025

Penalty

Fine: $69,350
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a safe, sanitary, and comfortable environment for residents by not ensuring that essential equipment such as Geri chairs and shower chairs were in good repair. Observations revealed that six out of eight Geri chairs in Building A were either broken or had ripped upholstery, with issues including missing cushions, broken footrests, handrests, and backrests, as well as exposed padding, wood, and metal parts. Two out of eight shower chairs were also found to be broken or ripped, with missing or damaged seat pads and backrests. These deficiencies were confirmed through interviews with the Maintenance Supervisor, who acknowledged the need for repairs to ensure resident comfort and safety. Further interviews with the DON confirmed that the damaged equipment compromised resident comfort and posed a risk of skin injury. Review of the manufacturer's manual for the Geri chair indicated the need for regular inspection and replacement of damaged parts, while the maintenance job description and facility policy emphasized the importance of maintaining equipment for resident safety and comfort. The facility's failure to adhere to these guidelines resulted in an environment that was not safe or comfortable for residents.

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