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32 | Allegation: Staff did not properly assist a resident with medical device
It is alleged that the resident cannot reach or place their CPAP device on the side of the table. It is also alleged that staff has not been able to place the CPAP device on the resident properly.
Based on interviews conducted, four out of four staff denied that staff did not properly assist R1 with a medical device. All staff stated that the NOC or PM shift assisted with placing R1’s CPAP Mask on. All staff stated either NOC or AM shift assisted with removing the mask in the morning. S1 stated there was atime when R1 wouldn’t have it on. R1 would say it was too tight. S2 heard that R1 would remove the CPAP mask on their own. There were no issues with putting on the mask at night or removing the mask. S2 stated R1 would remove the mask on their own. All staff stated they felt comfortable and able to put on or remove the mask as needed. All staff stated that the machine was not too far for the resident to reach or for R1 to reach for the mask.
Based on LPA’s observations, on September 17, 2025, LPA observed and took photos of R1’s CPAP machine. The CPAP machine was in reach of the resident’s bed. The mask can be placed on the stand next to the bed within reach of R1. Based on record review, R1’s physician’s order dated August 26, 2023, stated the facility staff to assist with putting on CPAP at night and removing it in the morning. There are no notes on the progress notes dated August 18, 2025, to September 13, 2025, that indicated R1 expressed any concern the stand was too far for them to reach for the CPAP machine or their own mask. On the progressnotes dated September 9, 2025, and September 10, 2025, staff noted R1 removed the CPAP mask.
Based on the information gathered, there is no sufficient evidence gathered to corroborate the above allegation. It is determined that all staff denied that the staff did not properly assist a resident with their medical device. LPA observed and took the photos of the machine and mask was right next to the resident’s bed.
Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegations that the staff did not properly assist a resident with their medical device. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.
Exit interview was conducted and a copy of the report was provided to Resident Services Director Mirian Im |