Failure to Maintain and Store Respiratory Equipment per Policy
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for five of six residents, as evidenced by multiple deficiencies in the handling and maintenance of respiratory equipment. Observations revealed that nebulizer equipment was not cleaned, dated, or stored in bags as required by facility policy for several residents. Additionally, CPAP masks were found not stored in bags, and oxygen tubing was either not dated or not changed according to policy. In one instance, a humidifier bottle was found completely empty, and the back of an oxygen concentrator was covered in dust at the filter area. These findings were confirmed through staff interviews and direct observation. The residents involved had significant medical histories, including hypertension, renal insufficiency, heart failure, diabetes, chronic obstructive pulmonary disease, and hyperlipidemia. The deficiencies were identified through a review of facility policies, clinical records, and direct observation of resident rooms and equipment. Staff, including the DON and an LPN, confirmed the failures to adhere to established protocols for respiratory care equipment maintenance and storage.