Failure to Properly Store CPAP Mask for Resident Requiring Respiratory Care
Penalty
Summary
A deficiency was identified when a resident with chronic obstructive pulmonary disease, who required the use of a CPAP device at bedtime, did not have her CPAP mask stored according to professional standards of practice. During observation, the CPAP mask was found placed on top of a bubble gum container on the resident's nightstand, exposed and not stored in a bag as required. The resident, who had intact cognition but required staff assistance for personal care and was unable to reach the mask herself, stated that staff typically left the mask in this manner and did not store it in a bag. Interviews with facility staff, including the ADON, DON, Administrator, and an RN, confirmed that the CPAP mask should have been stored in a bag when not in use to maintain cleanliness and prevent contamination. Staff acknowledged responsibility for ensuring proper storage, with specific mention of daily rounds and assigned duties for checking respiratory equipment. However, the facility's policy on oxygen administration did not address CPAP mask storage, and the mask was not stored as required at the time of the survey.