cms_WV: 10017
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10017 | SALEM CENTER | 515071 | 255 SUNBRIDGE DRIVE | SALEM | WV | 26426 | 2012-03-22 | 323 | D | 1 | 0 | FHEW11 | . Based on observation, record review, and staff interview, the facility failed to ensure the resident environment remained as free of accident hazards as possible; and each resident received adequate supervision to prevent accidents by storing a reclining chair in an unsafe position creating an accident hazard. This was found for one (1) of ten (10) residents reviewed. Resident identifier: #60. Facility census: 93. Findings include: a) Resident #60 This resident was assessed as being at risk for falls on nursing assessments completed on 11/01/11 and 03/13/12. She had experienced a fall on 01/02/12, in which she suffered a skin tear to her right forearm. She had two (2) separate falls on 01/13/12, one at 10:45 a.m., in which she suffered a laceration to her forehead, and one at 6:25 p.m. with no apparent injury. She fell again on 03/05/12 and 03/12/12. She sustained a laceration to her forehead that required transport to the emergency room for treatment. Three (3) of the five (5) falls were the result of the resident rolling out of her bed. On 03/20/12 at 1:20 p.m., Resident #60 was observed in a reclining chair in the hallway next to her room. She was placing her legs over the sides and moving about constantly. At 2:10 p.m., she was in bed. The bed was in a low position. There were fall mats on both sides of the bed. On the side of the bed that was toward the middle of the room, the reclining chair had been placed on top of the fall mat, parallel to the bed, and was up against the side of the bed. A registered nurse (RN), Employee #83 was called to the room and asked about the placement of the recliner. She stated it was not supposed to be there, and that its placement was unsafe, as the resident was at risk for rolling out of her bed. The nurse immediately moved the recliner to another area of the room. Staff were observed going into the room to put Resident #60's roommate to bed at 2:40 p.m. on 03/20/12. At 3:05 p.m., the reclining chair had been placed on top of the fall mat, parallel to Resident #60's bed, a second time. It was observed to be ten to twelve inches from the edge of the bed, creating a gap which the resident would fall into should she roll from the bed. Employee #83 was called to the room again to observe the placement of the reclining chair. She confirmed the reclining chair had been returned to a position on top of the fall mat and that the resident would have fallen into the gap between the bed and chair had she rolled out of bed. She once again immediately moved the reclining chair to another area of the room. . | 2015-07-01 |