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F0558
D

Failure to Provide Mechanical Lift Sling Prevents Resident Participation in Activities

Modesto, California Survey Completed on 09-03-2025

Penalty

No penalty information released
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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 provide reasonable accommodation for a resident who required a mechanical lift and sling for transfers, as documented in her care plan due to an ADL self-care deficit. On multiple occasions, the resident was unable to attend morning activities of her choice because the facility did not have a mechanical lift sling available. Documentation showed that transfers out of bed occurred at irregular times, often after scheduled activities, and staff interviews confirmed that a lack of available slings and uncharged lift batteries delayed care. On one occasion, the resident had to use a shower sling, which caused skin irritation, due to the shortage of regular slings. Interviews with staff and the resident confirmed that the absence of appropriate equipment directly prevented the resident from participating in preferred activities. The DON acknowledged that the facility should have the necessary equipment to meet the resident's needs and that missing activities could negatively affect the resident's psychosocial well-being. Facility policies reviewed emphasized the importance of resident autonomy, participation in activities, and dignity, all of which were not upheld in this instance due to the equipment shortage.

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