Willow Brook Christian Home

right forearm, right hip with pelvis, right humerus, and right tibia fibula.

The laceration was closed with four staples.

Diphtheria, Tetanus Toxoid, and Acellular Pertussis immunization was administered.Interview with CNA #62 on 08/29/25 at 1:21 P.M. revealed she and CNA #68 transferred the resident from her bed to the wheelchair. At this point, CNA #68 left the room.

While moving the mechanical lift away from the wheelchair, CNA #62 stated the metal edge of the cradle hit the resident in the head and she immediately started bleeding from the laceration. CNA #62 stated she applied a towel to the resident's head and called for the nurse. CNA #62 stated to prevent this from happening again she will always have two staff present until the mechanical lift is moved away from the resident.

Interview on 08/29/25 at 1:32 P.M. with the Assistant Director of Nursing (ADON) confirmed Resident #1 was struck in the head with the cradle of the mechanical lift when CNA #62 was moving the mechanical lift away from the resident's wheelchair.

The ADON stated the intervention put into place following the accident was for padding to be placed on the swing arm of the mechanical lift, as advised in the manufacturer's instructions.Observation on 08/29/25 at 1:45 P.M. of the mechanical lift revealed a swivel bar fabric protective cover that resembled the wrap illustrated in the Electric Lift Patient Manual.

Review of the manufacturer's pamphlet titled, Electric Patient Lift, revealed the lift included a swivel bar protective covering as part of the main assembly components.This deficiency represents non-compliance investigated under Complaint Number 2566262.

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