Lack of Documented and Ongoing Bed Safety Inspections
Penalty
Summary
The deficiency involves the facility’s failure to conduct and document regular inspections of all bed frames and mattresses as part of a maintenance program to ensure mattress–bed frame compatibility and identify areas of entrapment. During an observation of one resident’s bed with the DON, the mattress was found to fit the bed frame appropriately, and no unsafe gaps were noted around the quarter bedrails; additional observations of four other residents’ beds with air mattresses and side rails also revealed no entrapment or safety issues. In an interview, the Maintenance Supervisor reported that he measures bed mattresses and frames to ensure proper fit and assesses the mattress, frame, and bed rails for gaps or entrapment hazards when placing a new mattress. However, he acknowledged that he does not document these assessments and does not have a regular, ongoing maintenance program for checking beds for safety, leading to the cited deficiency.
