cms_ID: 64
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 64 | WEISER CARE OF CASCADIA | 135010 | 331 EAST PARK STREET | WEISER | ID | 83672 | 2016-10-21 | 328 | E | 0 | 1 | 224111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and resident, staff, and outside service provider interview, the facility failed to ensure the maintenance on the oxygen (O2) concentrators was current for 2 of 3 residents in the facility that were using oxygen (#1 and #14). The lack of maintenance placed residents at risk of injury and/or adverse health outcomes due to malfunctioning O2 concentrators. Findings include: 1. Resident #1 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident #1 had a physician's orders [REDACTED]. During an interview on 10/17/16 at 2:30 pm, Resident #1 showed the surveyor his oxygen concentrator. The back of the plastic case showed signs the machine had gotten hot and the plastic was partially melted. Observation of the filter in the machine showed there was buildup of material. Resident #1 stated he had told staff about the problem and that he could not remember when the plastic case melted. The maintenance sticker on the front of the machine showed the last maintenance was 11/13/13 and was due again 11/13/14. There was a physician's orders [REDACTED]. The Medication Administration Record [REDACTED]. The Administrator was informed on 10/17/16 at 4:00 pm, and removed the machine from Resident #1's room. 2. Resident #14 was admitted to the facility 5/15/15, with [DIAGNOSES REDACTED]. Resident #14's physician's orders [REDACTED]. A physician's orders [REDACTED]. On 10/17/16 at 4:15 pm, Resident #14's O2 concentrator was examined. The filter was in need of cleaning and the last maintenance performed was 9/21/14, and noted maintenance was due to be performed on 9/21/15. Resident #14 stated, at that time, he used the machine every night with his [MEDICAL CONDITION] machine and was not aware of the maintenance issue. The Administrator was notified of the maintenance issues on 10/17/16 at 4:00 pm. At 4:15 pm, the Administrator was observed removing concentrators from oxygen storage room. There were five machines that were removed. Each had different maintenance expiration dates as follows: * Concentrator #1 - Service date: 2/15/15, and service due: 2/15/16 * Concentrator #2 - Service date: 11/13/13, and due date: 11/13/14 * Concentrator #3 - Service date: 11/13/13, and due date: 11/13/14 * Concentrator #4 - Service date: 9/21/14, and due date: 9/21/15 * Concentrator #5 - Service date: 11/9/14, due date: 11/9/15 The Administrator was interviewed on 10/17/16 at 4:15 pm, and stated that the facility had a contract with an outside agency to service the machines. On 10/17/16 at 5:20 pm, the maintenance person from the outside agency was in the facility collecting the seven outdated concentrators and replacing them with serviceable ones. The outside agency's maintenance person was interviewed and stated he came to the facility on Mondays and Thursdays to service the liquid oxygen and replace tanks. He was not aware he was to look at, remove, and replace the concentrators for maintenance. The Administrator, District Director of Clinical Services, and Staff Development Coordinator, were interviewed 10/18/16 at 3:00 pm about the failed maintenance on the concentrators and a maintenance schedule. The Administrator indicated there was not currently (10/18/16) a scheduled maintenance plan for the oxygen concentrators in place. | 2020-09-01 |