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12221 MOPAC EXPRESSWAY NORTH

AUSTIN, TX 78758

PATIENT RIGHTS: CARE IN SAFE SETTING

Tag No.: A0144

Based on observation, interview and record review, the facility failed to provide care in a safe environment when the facility did not ensure maintenance repairs were initiated and completed, this failure places patients at risk of injuries.

Finds include:

Observations on the morning of 1/31/22, during a tour of the facility's Emergency room, revealed a metal door jamb railing had come loose, the staff had placed gauze bandages and tape to protect patients and staff from being cut by the railing.

Review of the facility provided incident reported, dated 10/13/21, reflected "ROOMS 10-16 DOOR ENTRANCE PAINT CHIPS AND METAL TRIM LOOSE. Assigned to HCA Engineering Central."

During an interview, on the afternoon of 1/31/22 in the administrative conference room, Staff #2, ER Director confirmed the findings in the ER and stated, "If we have something that needs to be urgently repaired, we will call facilities ...We keep a book of maintenance requests. Part of the problem is there are two different requests on the report, paint chips and loose trim. They probably repaired the painting and someone else would repair the trim, it was missed."

Observations on the morning of 1/31/22, during a tour of the facility's 4th floor inpatient unit, Room 431 had a large piece of hard plastic on the door which was cracked and exposing sharp edges. The nursing station, Pod C, had missing laminate, and there was fabric string stuck on the edge, indicating there was a sharp edge.

During an interview on the afternoon of 1/31/22, when asked to see the 4th floor work orders, Staff #1, Quality, stated, "We don't have work orders."