Inaccurate Documentation on Van Safety Checklist During Resident Transport
Penalty
Summary
The deficiency involves the facility’s failure to ensure accurate documentation on the daily van safety checklist for a resident transported by the facility van. The facility’s policy required the daily van safety checklist to be used for every transport and to document whether the shoulder and lap seat belt was secured correctly, whether seatbelts and wheelchair straps were re-checked after initial strapping, and whether any unsafe conditions existed. Review of the checklist for 01/08/2026 showed that the van driver/CNA documented “yes” to the question about correct shoulder and lap belt use and indicated no unsafe conditions. However, during an interview, the Administrator stated that staff on the van did not use the strap across the resident’s chest during the transport on that date and acknowledged that the driver’s documentation was inaccurate. In a separate interview, the van driver/CNA confirmed that the checklist should have been marked “no” for the question about correct shoulder and lap belt use at the time of the resident’s transport, demonstrating that the record did not accurately reflect the actual safety measures used during the transport. No additional medical history or clinical condition of the resident at the time of the deficiency is provided in the report.
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