cms_PR
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12 rows where "inspection_date" is on date 2019-05-15
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Suggested facets: scope_severity, inspection_date (date), filedate (date)
| Link | rowid ▼ | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 64 | 64 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 584 | B | 0 | 1 | K21011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on recertification survey, observations and resident interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to promote comfortable environment which can affect 2 out of 20 admitted residents at the facility. (RS # 68 & RS #70 ) , Findings include: 1 . A mechanism to ensure each that facility promote comfortable environment in all areas where residents supports daily living activities was not performed accordingly with the following findings identified during survey procedures from 05/13/19 to 05/15/19: a. Resident of room [ROOM NUMBER]-B stated on interview on 5/14/19 at 1:30 pm that the patio porch ( terrace ) where facility offer recreative activities do not have a comfortable temperature. Porch had metal roof planks who accordingly with hot climate endure heat and sunlight. b. Resident #70 of room [ROOM NUMBER] B stated on interview on 5/14/19 at 1:00 pm that the patio porch (terrace) where facility offer recreative activities do not have a comfortable temperature. Porch had metal roof planks who accordingly with hot climate endure heat and sunlight. | 2020-09-01 |
| 65 | 65 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 625 | D | 0 | 1 | K21011 | Based on recertification survey, observations and resident interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to inform residents and relatives related with Notice of bed-hold policy and return which can affect 1 close record review case who was transferred to receive acute care ( Closed Record #13 ) Findings include: 1 . A mechanism to ensure each that facility provide residents and relatives with a notice ( written information ) that specifies the duration of the bed-hold policy before transfer to hospital was not performed accordingly with the following findings identified during survey procedures from 05/13/19 to 05/15/19: a. During review of closed case #13 on 05/15/19 at 2:45 pm it was identified that resident was transferred to receive acute care. No evidence was found during the review of the notice ( written information ) that specifies the duration of the bed-hold policy before transfer to hospital provided to resident or relative. | 2020-09-01 |
| 66 | 66 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 655 | F | 0 | 1 | K21011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification survey, review of twelve medical records and resident interview and the Director of Nursing ( employee #1 ) during a survey process performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm, it was determined that the facility failed to provide written care plan to residents/relatives as required by 483.21 (a) Comprehensive Person - Centered Care plan in tag F 655 of the State Operations Manual appendix PP -Guidance to Surveyors for Long Term Care Facilities. This deficient practice was identified in 8 out of 12 active cases reviewed. ( RS #64, #65 , #68, #69, #71, #72, #74, #75) Findings include: 1. A mechanism to ensure that facility provide residents with a copy of the baseline care plan developed within the first 48 hours of admission was not performed, accordingly with the following findings identified during survey procedures performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm: Four residents (R#64, #65, #68, #69) were interview during survey procedures and they stated that Facility did not provide a written copy of the baseline care plan developed the first 48 hours right after admission. During interview on 05/15/19 at 1:55 pm the Director of Nursing ( employee #1 ) stated that facility personnel discuss with residents and relatives the baseline care plan developed the first 48 hours right after admission. He also stated that facility did not implement a mechanism to comply with this requirement yet. He said that facility are in the process of design a format to document the information of the baseline care plan. b. Resident #71 of room [ROOM NUMBER]-B stated on interview on 5/14/19 at 11:07 am the resident stated that she participated in the initial care plan within the first twenty four hours of being admitted and sings it but did not receive a copy of it a. Resident #72 of room [ROOM NUMBER]-A, the resident was interviewed on 5/13/19 at 10:30 am and he said I participated in the care p… | 2020-09-01 |
| 67 | 67 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 679 | B | 0 | 1 | K21011 | Based on a recertification survey, observations, resident interview and interview with the Recreative Therapist ( employee #5 ) during a survey process performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm, it was determined that the facility failed to maintain the monthy recreative activities schedule information available in order to support residents in thier choice of activities. This deficient practice was identified in 6 out of 12 active cases reviewed. ( RS #70, #71, #72, #73, #74 and #75 ) Findings include: 1. A mechanism to ensure that facility maintain residents informed on an ongoing basis about recreative activities was not performed, accordingly with the following findings identified during survey procedures performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm: a.On 05/13/19 9:00 am it was identified that no monthly activity schedule were observed posted on resident's rooms. b. Six residents were interview during survey on 05/13/19 thru 05/15/19, from 8:00 am thru 4:30 pm and they stated that facility inform on daily basis recreative activities planned for each day. However did not maintain schedule available to be reviewed in order to determine potential to participate on individual and group activities. During interview on 5/15/19 at 11:45 am Recreative Therapist ( employee #5 ) stated that every day facility inform residents in relation with activities planned for each day. However no schedule is posted in residents rooms or on the skilled nursing facility surrounding areas. c. During observations in the initial tour and resident's interview in a survey process performed on 5/13/19 from 8:00 am thru 11:30 am, it was observed that the facility did not maintain the monthy recreative activities schedule information available in the residents rooms. Residents #70, #71, #72, #73, #74 and #75 did not have a monthy recreative activities schedule in their respective rooms. On 5/13/19 at 11:15 am the residents said during interview that they paticipated in the activities but no evide… | 2020-09-01 |
| 68 | 68 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 689 | D | 0 | 1 | K21011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on recertification survey, observations and resident and staff interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to promote environment free of accidents hazard as possible which can affect 1 out of 20 admitted residents at the facility. (RS # 64), Findings include: 1. A mechanism to ensure each resident receive adequate orientation to prevent accidents (fire) was not performed accordingly with the following findings identified during survey procedures from 05/13/19 to 05/15/19: a. Resident R#64 is a male patient admitted on [DATE] with a diagnostic of Discitis on the lumbar region. Resident was admitted to receive antibiotics. On 05/13/19 at 10:29 AM the resident smoked. However he is independent and moved outside only one time during shift to smoke on 05/15/19 at 08:43 AM The MDS coordinator ( employee # 1) stated during interview on 5/14/19 at 9:55 am that this resident has history as smoker, but when admitted to receive services he stated that he is not smoking. There are no evidence documented ( ej-progress notes ) were facility orient resident related with designated area to smoke and prevention of fire and accidents. 05/15/19 at 9:49 AM In the history and physical exam when resident was admitted stated to the MD that is a former smoker. In the Registered nurse RN admission history and physical examination [REDACTED]. | 2020-09-01 |
| 69 | 69 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 692 | D | 0 | 1 | K21011 | Based on re-certification survey, observations and resident interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to ensure that input of residents related with offered sufficient fluids intake to maintain proper hydration and health, this deficient practice can affect 1 out of 20 admitted residents at the facility. (Resident Sample # 71). Findings include: a. On 5/13/19 at 9:45 am and on 5/14/19 at 10:27 am the resident #71 meal table was observed stuck to the wall in front of the resident bed. The resident says that she do not drink coffee because they bring her milk and the coffee separately, she has vision problems and only takes the milk because cannot mix them. She also said that they always leave the table away from her and she has problem to drink water. b. On 5/14/19 at 11:45 am it was observed that the resident had eaten the lunch alone and she said that the water was spill on her bed because it was difficult for her to hold the glass. It was observed a portion of food around her mouth. There was no presence of nursing staff assisting the resident. c. On 5/15/19 at 1:00 pm the resident was visit and she was interview related to the coffee and she said that the coffee is good. She said that the nurse's assisted her during the breakfast and meals and the table used for foods was observed clean. However, the table was maintain away from her reach of her hands, which makes it impossible for the resident to consume water when they want. | 2020-09-01 |
| 70 | 70 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 803 | D | 0 | 1 | K21011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on recertification survey, observations and resident interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to ensure that input of residents related with food preferences is considered in order to promote the rights of the resident to make personal dietary choices. This deficient practice can affect 1 out of 20 admitted residents at the facility. (Resident Sample #62) Findings include: 1. A mechanism to ensure that facility make reasonable efforts to meet resident food choices and preferences was not performed accordingly with the following findings identified during survey procedures from 05/13/19 to 05/15/19: a. RS #62 is a female resident [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. Dietitian perform initial assessment of resident on 5/11/19 and accordingly with information reviewed with register nurse (employee #11) on medical record on 5/15/19 resident stated that she does not like coffee. b. On 5/13/19 at 8:55 am refer that coffee is included in her tray as part of the breakfast and that she does not want to drink coffee because she does not like it. Resident state that she want to drink hot tea in the morning, no coffee. c. On 5/14/19 at 2:30 pm clinical dietitian was informed that resident is receiving decaffeinated coffee as part of the breakfast and she does not like it. d. On 5/14/19 at 8:08 pm clinical dietitian evaluate the resident to acquire information of choices and preferences and change the coffee in the breakfast for tea. e. On 5/15/19 at 8:30 am resident stated on interview that she receive again decaffeinated coffee as part of the breakfast and she does not like it. f. Resident want to drink hot tea in the morning, no coffee. 2. The facility failed to maintain reasonable efforts, to comply and take under consideration the input received from residents related with food preferences. | 2020-09-01 |
| 71 | 71 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 806 | D | 0 | 1 | K21011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on recertification survey, observations and resident interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to provide food that accommodates resident preferences. This deficient practice can affect 1 out of 20 admitted residents at the facility. (Resident Sample #62). Findings include: 1. A mechanism to ensure that facility is aware of resident preferences and provide an appropriate alternative when resident appears to refuse to drink items was not performed accordingly with the following findings identified during survey procedures from 05/13/19 to 05/15/19: a. RS # 62 is a female resident [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. Dietitian perform initial assessment of resident on 5/11/19 and accordingly with information reviewed with register nurse (employee #11 ) on medical record on 5/15/19 resident stated that she does not like coffee. b. On 5/13/19 at 8:55 am refer that coffee is included in her tray as part of the breakfast and that she does not want to drink coffee because she does not like it. Resident state that she want to drink hot tea in the morning, no coffee. c. On 5/14/19 at 2:30 pm clinical dietitian was informed that resident is receiving decaffeinated coffee as part of the breakfast and she does not like it. d. On 5/14/19 at 8:08 pm clinical dietitian evaluate the resident to acquire information of choices and preferences and change the coffee in the breakfast for tea. e. On 5/15/19 at 8:30 am resident stated on interview that she receive again decaffeinated coffee as part of the breakfast and she does not like it. f. The facility failed to observe breakfast services and identify a resident who appears to refuse drink items, and determine if she is offered the opportunity to receive substitutes. | 2020-09-01 |
| 72 | 72 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 812 | F | 0 | 1 | K21011 | Based on a recertification survey observational tour of the facility's kitchen during a survey process performed from 05/13/19 thru 05/16/19, from 8:00 am thru 4:30 pm, and interview with clinical dietitian ( employee # 7) it was identified that the facility failed to ensure frozen food are storage maintain in sanitary conditions. Findings include: 1. On 05/13/19 from 8:00 am through 8:55 am the following was identified during observational tour in the kitchen with the clinical dietitian: a.On the frozen meat freezer it was observed three or four boxes of frozen meat located directly on the floor rather than 6 inches off the floor. | 2020-09-01 |
| 73 | 73 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 880 | C | 0 | 1 | K21011 | Based on a recertification survey and observations and staff interview performed during the survey process from 05/13/19 thru 05/15/19, from 8:00 am thru 4:00 pm, it was determined that the facility failed to comply with accepted infection control precautions and standards of practice. Findings include: 1.A mechanism to ensure that facility maintain standard precautions during the management of ice to be used by residents , was not promoted not performed, accordingly with the following findings identified during survey procedures performed from 05/13/19 thru 05/15/19, from 8:00 am thru 4:00 pm, [NAME]On 5/13/19 at 8:00 a.m. till 4:30 p.m. true 5/15/19 at 8:00 am. till 4:30 pm. during the performed visual inspection on different resident's rooms and others areas of the skill nursing facility the following was found: 1. Residents rooms 101, 102, 103, 104, 106, 107, 108, 109, 110, 111, 112, 113, 122 and others areas corridors, offices and recreative areas of the skill facility was visit and it was observed dirty and deteriorate floor. 2. The designated area used for the personnel lunch located in front of the nurse station on 5/13/19 thru 5/15/19 during the recertification survey was observed the scale on the right side of the room and in the left side of the main entrance a resident food table was observed, on the top of this table a '' foam icebox with ice '' and near the foam icebox a stainless steel scoop place in the interior of a transparent small plastic bags '' was observed. On the lid of the ''foam icebox '' a sign indicating fridge for ice covers. The Infection Control Nurse (employee #8) was interview on 5/15/19 at 11:20 am and he said that '' foam icebox '' was used to maintain the ice use to supplement the bags used for cold compresses used for residents to manage the pain and swelling caused after surgery. 3. However, this type of foam icebox is not acceptable since the material with which it is made has pores and its use is definable. No evidence of policies and procedures for this foam icebox. No evi… | 2020-09-01 |
| 74 | 74 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 908 | F | 0 | 1 | K21011 | Based on a recertification survey, observational tour of the facility's kitchen during performed from 05/13/19 thru 05/15/19, from 8:00 am thru 4:30 pm, and interview with clinical dietitian (employee # 7) it was identified that the facility failed to maintain equipment safe operating in conditions good condition. Findings include: 1. On 05/13/19 from 8:20 am through 8:55 am the following was identified during observational tour in the kitchen with the clinical dietitian: a.The kitchen has three stoves, the one located on the right side has a big flame of fire near to the burner. The clinical dietitian (employee #7) stated on interview on 05/13/19 at 8:35 am that this stove had a broken burner and that's the reason why a big flame of fire appear every time you turn on the burner of the stove. | 2020-09-01 |
| 75 | 75 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2019-05-15 | 921 | D | 0 | 1 | K21011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on recertification survey, observations and resident and staff interview performed from 05/13/19 to 05/15/19, it was determined that the facility failed to promote a safe environment for residents, staff and the public which can affect 1 out of 20 admitted residents at the facility. (R # 64) Findings include: 1 . A mechanism to ensure that facility maintain an ongoing supervision of former smoker resident to prevent accidents (fire) was not performed accordingly with the following findings identified during survey procedures from 05/13/19 to 05/15/19: a. Resident R #64 is a male resident was admitted on [DATE] with a diagnostic of Discitis on the lumbar region. Resident was admitted to receive antibiotics. 05/13/19 10:29 AM Resident smoke. However he is independent and move outside only one time during shift to smoke. 05/15/19 08:43 AM The MDS coordinator ( employee # 1) stated during interview 0n 5/14/19 at 9:55 am that this resident had history as smoker, but when admitted to receive services he stated that he is not smoking. There is no evidence documented ( ej-progress notes ) were facility orient resident related with designated area to smoke and prevention of fire and accidents. During review of the medical record no evidence was found related with supervisory rounds in order to evaluate that resident is following the instructions to smoke in designated area in order to prevent fire. | 2020-09-01 |
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CREATE TABLE [cms_PR] ( [facility_name] TEXT, [facility_id] INTEGER, [address] TEXT, [city] TEXT, [state] TEXT, [zip] INTEGER, [inspection_date] TEXT, [deficiency_tag] INTEGER, [scope_severity] TEXT, [complaint] INTEGER, [standard] INTEGER, [eventid] TEXT, [inspection_text] TEXT, [filedate] TEXT );