Failure to Maintain Shower Beds in Safe Working Condition
Penalty
Summary
The facility failed to maintain eight of nine shower beds in safe working condition when surveyors observed that the side rails on these beds were missing required locking pins. During an observation in one shower room, a CNA reported that several locking pins had been missing for approximately two weeks and that plastic bags were being used to support the side rails while awaiting repairs. The CNA confirmed that the shower beds continued to be used in this condition. Subsequent inspections by the Maintenance Director in three separate shower rooms confirmed that a total of eight shower beds had missing locking pins on their side rails. During a telephone interview and record review, the DON reviewed the manufacturer’s owner’s manual for the PVC healthcare equipment, which stated that improper use of the equipment or failure to follow directions and warnings may result in death or injury, and that equipment must be properly assembled before use and after any adjustments, repairs, or service. The DON acknowledged that the shower beds had been used prior to repair, contrary to the manual’s instructions. The facility’s maintenance policy indicated that the building must be maintained in compliance with applicable laws and guidelines and that the Maintenance Director is responsible for maintaining a schedule of maintenance services to ensure the building and equipment are maintained in a safe and operable manner.
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