Failure to Perform Regular Bed Safety Inspections and Maintenance
Penalty
Summary
The facility failed to conduct regular inspections of all bed frames, mattresses, and bed rails as part of a regular maintenance program to identify areas of possible entrapment for 13 residents. Surveyors determined that bed evaluations, assessments, and regular maintenance, which should have been completed for all residents’ beds, had not been done. The deficiency involved the lack of routine safety checks to ensure that all bed rails and mattresses were safely attached to the bed frames and to identify potential entrapment zones between the mattress, side rail, footboard, and headboard. During an interview, the DON and the Administrator acknowledged that bed evaluations, assessments, and regular maintenance for residents’ beds were expected to be completed but had not been carried out, and they stated that this did not meet their expectations for safety. The report cross-referenced related findings under tag 700A, indicating that the identified issue was part of a broader concern regarding bed safety inspections and maintenance.
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