OSHA Inspection: SIMON WISCONSIN RAPIDS PROPERTIES, LLC

Issued

2013-11-13 00:00:00

Abate by

2013-12-05 00:00:00

Penalty

Initial $4900.00 · Current $4900.00

General-duty citation text

OSH ACT of 1970 Section (5)(a)(1): Section 5(a)(1) of the Occupational Safety and Health Act of 1970: The employer did not furnish employment and a place of employment which were free from recognized hazards that were causing or likely to cause serious physical harm to employees, in that employees were required to perform lifting, transferring and repositioning tasks resulting in physical stressors that have caused or were likely to cause musculoskeletal disorders (MSDs):  At Strawberry Lane Medical and Rehabilitation Center, owned by Simon Wisconsin Rapids Properties, LLC, State Certified Nursing Assistants manually lift, transfer, and reposition non-weight bearing, partial weight bearing, and weight bearing residents, exposing them to tasks which result in injuries.    Feasible and useful method to correct the hazard - Fully implementing a Safe Resident Handling Program which includes a lifting and transferring policy and related procedures with guidance on the reduction and/or the elimination of manual resident handling tasks by increasing the use of appropriate equipment and mechanical devices, improving the methods for assessing the needs of each non-weight bearing  resident, and partial and full weight bearing resident to determine the safest method to lift, transfer, ambulate or reposition each resident by the staff. The program should include: 1. Resident Assessment: The facility should continue assessing the lifting, transferring, and repositioning needs of each resident, but in addition the assessment should take employee safety into consideration by selection of the most appropriate lifting, transferring and repositioning devices based on the residents ability to bear weight, follow directions, assist with bed mobility, ability to ambulate, and the rehabilitation goals.  The resident assessment will minimize in all cases and eliminate when feasible the manual physical assist by one or two persons to lift, transfer and reposition the resident.  The assessment criteria such as, but not limited to, Algorithms, the Minimum Data Set, or the Functional Independence Measure will be used to determine a residents movement needs and identify the most appropriate methods to move and ambulate the resident while minimizing in all cases and eliminating when feasible the manual physical assistance required by the staff.  The facility should continue to convey to all staff responsible for the resident care through formal shift change meetings, care plan documentation, and training with the mind set of keeping the resident as independent as possible but at the same time addressing the actions that may cause resident handler injury.  2. Equipment: The appropriate equipment will be provided with the appropriate sling for the task to enable mechanical lift, transfer and repositioning for the residents in order to protect the staff.  The equipment and device needed to ensure resident handler safety depends on the residents physical acuity level.  One full dependency lift is needed for every 8 to 10 non-weight bearing residents and one sit/stand lift should be provided for every 8 to 10 partial weight bearing residents.  Repositioning devices with frictionreducing aids or slip sheets should be available to assist with any repositioning needs.  The equipment footprint will be considered for the bedroom and bathroom configurations. 3. Workplace Assessment: The residents rooms and bathrooms should be assessed to identify factors that might contribute to resident handling incidents. This includes the bathroom configuration and constraints, and other physical barriers that might restrict movement of lifting equipment. 4. Training: Training will be provided to all staff on all shifts responsible for implementing the comprehensive system-wide approach to safe resident handling which includes administrators, nursing staff, physical and occupational therapy staff, maintenance staff and the direct care providers to include the concept that resident handling will minimize in all cases, and eliminate when feasible, the manual physical assist by one or two persons to lift, transfer and reposition the resident.  The staff will be trained and made competent in the equipment and device use and procedures to follow for resident lifting, transferring, repositioning, and ambulating equipment.  5. Recordkeeping: Ensure that musculoskeletal disorder injuries which have occurred are tracked and trended on a regular basis using data from the past three years.  Examine the root causes of the lifting, transferring and repositioning injuries by year, by hallway, and by shift. 6. System-Wide Ergonomics Evaluation: Evaluate the effectiveness of the ergonomic efforts and follow up on unresolved problems in order to sustain the effort to reduce injuries, track interventions, identify new problems and determine where improvement is needed.

Issued

2013-11-13 00:00:00

Abate by

2013-12-05 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.29(b)(6): The employer did not enter "privacy case" in the space normally used for the employee's name on the OSHA 300 form or equivalent.   On or about May 13, 2013, the employer entered the employee's name on the 2013 OSHA 300 Form or equivalent that resulted in a privacy concern case.

Issued

2013-11-13 00:00:00

Abate by

2013-12-05 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated when necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure:  On or about May 13, 2013, the Exposure Control Plan was not updated to reflect current procedures which affect occupational exposure.

Issued

2013-11-13 00:00:00

Abate by

2013-12-05 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(h)(5): 29 CFR 1910.1030(h)(5):  The employer did not establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps.  On or about May 13, 2013, the employer did not establish a sharps injury log for recording of needlesticks from contaminated sharps.