| 6400.207(5)(III) | On 02/07/24 at 11:33 AM, Individual #1's bed contained full bedrails that restricted the movement or function of the individual's body. The agency obtained a prescription for the bed rails on 07/18/23. Although the bed rails are prescribed by the medical practitioner, the most current assessment dated 06/13/23 does not address if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #1's individual plan does not include periodic relief of the device to allow freedom of movement.
On 02/07/24 at 11:45 AM, Individual 2's bed contained full bedrails that restricted the movement or function of the individual's body. The agency obtained a prescription for the bed rails on 03/03/21. The prescription for the bed rail expired on 03/03/22. Further, the most current assessment, dated 10/16/23, does not address if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #2's individual plan does not include periodic relief of the device to allow freedom of movement. | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | The funtional assessment form will be updated to include a section detailing instances where bed rails may be needed. All core members requiring bed rails will be assessed and have a doctor's note on file to support the documentation in the functional assessment.
The Program Administrator will work with IT to ensure the functional assessment is updated to include the assessment section. The Program Administrator will work with each home to ensure assessments are completed with the respective core members' doctor.
The functional assessment form will be updated and the doctor's evaluations will be completed in no more than thirty days (3/23/2024).
The violation will not be repeated due to the permanent change in the functional assessment. |
03/22/2024
| Implemented |