Failure to Maintain Clean and Sanitary Resident Transfer Equipment
Penalty
Summary
The facility failed to provide a safe, sanitary, and homelike environment by not ensuring that a sit-to-stand transfer chair was thoroughly cleaned and sanitized. During an observation, a CNA was seen pushing the transfer chair, which had visible dirt, dried food particles, and accumulated dust on its footrest and base. The CNA was unsure who was responsible for cleaning the equipment. The ADON, present at the nurses' station, acknowledged the importance of cleaning resident equipment but indicated that a maintenance order would be needed to address the issue. The DON confirmed there was no set cleaning schedule for the sit-to-stand transfer chair, despite it being used for multiple residents and requiring cleaning after each use. Further interviews revealed that the ADON personally cleaned the chair after the issue was identified, noting the presence of hair, food, and dirt that had become gummy when cleaned, indicating it had not been maintained. The DOS, responsible for maintenance, laundry, and housekeeping, stated that housekeeping staff were responsible for cleaning such equipment but confirmed there was no routine cleaning log in place. The interim administrator also stated that a schedule for cleaning resident equipment was not in effect at the time of the deficiency. Review of the facility's infection control policy indicated that equipment should be maintained and cleaned according to policy and manufacturer recommendations, which was not followed in this instance.