cms_SC: 6587
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6587 | FLORENCE REHAB & NURSING CENTER | 425163 | 133 WEST CLARKE ROAD | FLORENCE | SC | 29501 | 2014-06-19 | 323 | E | 0 | 1 | T4HW11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record review, interview, and observation, the facility failed to maintain appropriate fall prevention measures as ordered for 2 of 3 residents reviewed for accidents/hazards. Resident #44's devices to prevent falls were not working appropriately and #73 did not have devices in place to prevent falls. The findings included: The facility admitted Resident #44 with [DIAGNOSES REDACTED]. Review of the resident's record on 6/18/14 revealed Fall Risk Assessments which documented the resident was a high risk for falls. Review of the Quarterly Minimum (MDS) data set [DATE] revealed the resident was independent in bed mobility, transfer, walking in room and locomotion on the unit. The Resident required limited assistance of one person walking in the corridor and extensive assist with one person for locomotion off of the unit. Resident # 44 was coded as having an impairment to the upper and lower extremity on one side. Review of the facility provided incident reports for Resident # 44 revealed the resident had sustained three falls in May 2014 and one fall in June 2014. The resident's care plan for falls revealed multiple interventions including anti-rollbacks on w/c(wheel-chair). On 6/18/14 at 4:40 PM, the DON (Director of Nursing) was asked if the anti-rollbacks were functioning. He/she confirmed they were not functioning properly and this had been discovered on Monday (6/16/14) and wheels for the wheel-chair had been ordered. On 6/19/14 at 4:08 PM, the facility Consultant was asked if the anti-rollbacks were working properly. During a demonstration with the resident standing up and sitting back in the wheel-chair, the Consultant stated the anti-rollbacks were not working properly and this was confirmed by a staff member from the therapy department. The facility admitted Resident #73 with [DIAGNOSES REDACTED]. Review of the resident's record on 6/18/14 revealed Fall Risk Assessments which indicated the resident was a high risk for falls. Review of the most recent Annual Minimum (MDS) data set [DATE] documented the resident needed limited assist with one person in the areas of transfer and locomotion off the unit. Supervision with set up help only was required for walking in the room/corridor and locomotion on unit. Review the facility provided incident reports revealed the resident had sustained two falls in 2014 and multiple interventions were listed on the care plan. Anti-rollbacks and a dycem were suggested after falls in 2013 per review of the incident reports. Observation of the resident on 6/18/14 revealed only one anti-rollback was noted on the resident's chair and dycem was not under the cushion in the resident's chair. On 6/18/14 at 2:43 PM, the Unit Manager observed the resident's wheelchair with the surveyor and confirmed only one anti-rollback was on the resident's wheelchair and no dycem was noted. During an observation on 6/19/14 at 9:11 AM anti-rollbacks were noted on the resident's wheelchair but there was no dycem under the cushion of the seat of the chair under the cushion. During an interview with the Assistant Director of Nursing on 6/19/14 at 1:33 PM, s/he verified the resident does sit in the wheelchair at times. | 2017-12-01 |