F0908

D

Failure to Maintain AEDs and Crash Carts in Ready-to-Use Condition

Warren, Michigan Survey Completed on 01-21-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure essential emergency equipment, specifically AEDs and crash carts, were maintained in a ready-to-use condition. A complaint intake reported that during a code blue for resident R904 on the [NAME] unit, staff could not use the closest AED because it did not have pads, and staff had to obtain another AED from a different unit. R904’s record showed the resident was cognitively intact, required staff assistance with activities of daily living, and had a full code status; after the code and a 911 call, the resident was transferred to a local hospital. During the survey, attempts to contact the nurse involved in the code were unsuccessful.

Surveyors observed multiple issues with AEDs and crash carts throughout the facility. An AED in a red case on top of the crash cart outside reception was found cracked open with no visible status light. On the [NAME] unit, the crash cart log showed all items checked, but the wall-mounted AED box above it was empty. In the large dining room, the crash cart had soiled towels on top and no form to monitor its inventory. On the [NAME] unit and the Rose/Lavender unit, AEDs were stored with the batteries removed; the unit manager and the DON stated this was done to prevent beeping and preserve battery life. Review of the manufacturer’s manual, however, showed the AED must be stored with pads and battery installed so it can perform daily self-tests and remain ready for use. When asked to demonstrate the self-test, a unit manager inserted the battery and turned the AED on but did not complete the self-test, stating it would waste pads, and reported being unable to complete it without connecting pads. The administrator reported the facility had no policies addressing AEDs or crash carts.