Failure to Properly Store and Label CPAP Respiratory Equipment
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care by not ensuring that respiratory equipment was labeled with a name and date and contained in a plastic bag between uses for two residents using CPAP masks. On 7/28/25 at 9:44 a.m., one resident’s unlabeled and undated CPAP mask was observed stored loose in a dresser drawer and not contained in a bag; when asked if staff kept the CPAP mask in a bag, the resident responded that they did not and questioned why it needed to be bagged. Later that morning at 10:10 a.m., another unlabeled and undated CPAP mask was observed lying directly on top of a mattress without a sheet and not contained in a bag. At 10:19 a.m., when the surveyor asked whether this CPAP mask was dated or contained in a bag, an LPN inspected the mask and confirmed that it was not in a bag and had no date. The facility’s respiratory therapy prevention of infection policy, revised August 2008, states that for medication nebulizers/continuous aerosol equipment, the circuit is to be stored in a plastic bag marked with the date and resident’s name between uses, although the policy notes that maintaining CPAP is excluded.
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