Incompatible Mattress and Bed Frame Resulting in Unsafe Bed Setup
Penalty
No penalty information released
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 ensure that a mattress and bed frame were compatible for a resident with morbid obesity, muscle weakness, and Type II Diabetes Mellitus. The resident, who was cognitively intact and required a low air loss mattress at all times, reported that the mattress was too large for the bed frame. Observation confirmed that the mattress overhung the bed frame by approximately five inches, and a grab bar could not be installed on one side of the bed due to the mattress's size. The Maintenance Director acknowledged that the mattress was not fully supported by the frame and confirmed awareness of the issue.