diff --git a/care/facility/migrations/0414_remove_bed_old_name.py b/care/facility/migrations/0414_remove_bed_old_name.py
new file mode 100644
index 0000000000..64a03775e8
--- /dev/null
+++ b/care/facility/migrations/0414_remove_bed_old_name.py
@@ -0,0 +1,16 @@
+# Generated by Django 4.2.10 on 2024-02-14 11:41
+
+from django.db import migrations
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0413_eventtype_patientconsultationevent_and_more"),
+    ]
+
+    operations = [
+        migrations.RemoveField(
+            model_name="bed",
+            name="old_name",
+        ),
+    ]
diff --git a/care/facility/models/bed.py b/care/facility/models/bed.py
index bca71296de..d701dba41a 100644
--- a/care/facility/models/bed.py
+++ b/care/facility/models/bed.py
@@ -4,6 +4,7 @@
 However this is an addon feature and is not required for the regular patient flow,
 Leaving scope to build rooms and wards to being even more organization.
 """
+
 from django.core.exceptions import ValidationError
 from django.db import models
 from django.db.models import JSONField
@@ -17,7 +18,6 @@
 
 class Bed(BaseModel):
     name = models.CharField(max_length=1024)
-    old_name = models.CharField(max_length=1024, null=True, blank=True)
     description = models.TextField(default="", blank=True)
     bed_type = models.IntegerField(
         choices=BedTypeChoices, default=BedType.REGULAR.value
@@ -49,7 +49,7 @@ def __str__(self):
 
     def validate(self) -> None:
         if (
-            Bed.objects.filter(location=self.location, name=self.name)
+            Bed.objects.filter(location=self.location, name__iexact=self.name)
             .exclude(pk=self.pk)
             .exists()
         ):
diff --git a/care/facility/tests/test_bed_create.py b/care/facility/tests/test_bed_create.py
index b9d2dedcfc..26a18a69be 100644
--- a/care/facility/tests/test_bed_create.py
+++ b/care/facility/tests/test_bed_create.py
@@ -33,6 +33,36 @@ def test_create(self):
             sample_data["number_of_beds"],
         )
 
+    def test_create_with_same_name(self):
+        sample_data = {
+            "bed_type": "REGULAR",
+            "description": "Testing creation of beds.",
+            "facility": self.facility.external_id,
+            "location": self.asset_location.external_id,
+            "name": "Test Bed",
+            "number_of_beds": 1,
+        }
+        response = self.client.post("/api/v1/bed/", sample_data, format="json")
+        self.assertIs(response.status_code, status.HTTP_201_CREATED)
+
+        response = self.client.post("/api/v1/bed/", sample_data, format="json")
+        self.assertIs(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertEqual(
+            response.json()["name"],
+            ["Bed with same name already exists in location."],
+        )
+
+        # validate case insensitive
+        sample_data["name"] = "test bed"
+        response = self.client.post("/api/v1/bed/", sample_data, format="json")
+        self.assertIs(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertEqual(
+            response.json()["name"],
+            ["Bed with same name already exists in location."],
+        )
+
+        self.assertEqual(Bed.objects.filter(facility=self.facility).count(), 1)
+
 
 class MultipleBedTest(TestUtils, APITestCase):
     @classmethod