Unsecured Oxygen Cylinder Found in Resident Room
Penalty
Fine: $24,850
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 oxygen cylinders were stored securely, as required by their own policy and standard safety practices. During an observation, an oxygen cylinder was found upright and unsecured next to the head of a resident's bed. The facility's policy specifies that small-sized oxygen cylinders must be attached to a cylinder stand or to medical equipment designed to hold them. Interviews with staff, including a CNA, an LPN, and the ADON, confirmed that oxygen cylinders should not be left unsecured in resident rooms and should be stored in appropriate carriers or holders. At the time of the deficiency, 19 residents in the facility were utilizing supplementary oxygen.