cms_WV: 114
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114 | HUNTINGTON HEALTH AND REHABILITATION CENTER | 515007 | 1720 17TH STREET | HUNTINGTON | WV | 25701 | 2017-09-07 | 241 | E | 0 | 1 | QLZ111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on family interview, record review, observation and staff interview, the facility failed to ensure residents were treated with dignity and respect. Three (3) residents, residing in separate rooms, did not receive their meals at the same time as their roommates. These random observations were made during the meal service. In addition one (1) of three (3) residents reviewed for the care area of dignity was sent to a physicians' appointment dressed only in a brief and was not wearing his dentures. Resident identifiers: #121, #69, #19, and #73. Facility census: 180. Findings include: a) Resident #121 Observation of the noon meal at 12:34 a.m. on 08/28/17 found the resident's roommate had finished eating her noon meal. Resident #121 did not have her tray. Employee #87, a Registered Nurse (RN) unit manager said Resident #121 requires assistance with eating so she does not have her tray. The tray comes out on another cart. The staff have to pass all trays to residents who can feed themselves, then they return to provide assistance to the residents who can't feed themselves. Resident #121's tray is on the second cart. At 4:00 p.m. on 08/28/17, the Registered Nurse (RN), District Director of Clinical Services, stated, We have always served the residents who can feed themselves first. We are fixing the trays right now so roommates will have their trays at the same time. b) Resident #69 Observation of the morning meal on 08/29/17, at 8:29 a.m. found the resident's roommate had finished eating his meal. Resident #69 did not have a tray. The roommate, Resident #286 stated his roommate does not have a tray yet because someone has to feed him. He gets his tray later. c) Resident #19 Observation of the noon meal on the 400 hallway found Resident #19's roommate had finished eating her breakfast at 8:49 a.m. on 08/29/17. Resident #19 did not have her meal. Nursing assistant (NA) #58 said Resident #19's tray comes out on the second cart. She stated residents who can feed themselves get their trays first. The roommate can feed herself, Resident #19 requires assistance. We pass trays to all the residents who feed themselves on the first cart then the second cart contains the trays of all the residents who require assistance with eating. At 11:17 a.m. on 09/05/17, the Director of Nursing (DON) said all staff have been educated to make sure roommates receive their trays at the same time. This was an issue but now it has been corrected. d) Resident 73 Resident #73 was admitted to the facility with a pressure ulcer on his heel. On Tuesday mornings he was transported by ambulance to a wound care facility for treatment of [REDACTED]. Telephone interview with Resident's family member during Stage I of the survey on 08/29/17 at 11:27 a.m. revealed Resident #73 had been transported to his weekly appointment at the wound care facility dressed only in an incontinence brief. The family member was unsure of the exact date this happened, but stated it occurred approximately three (3) weeks ago. The family member also stated Resident #73 had been transported to the wound care facility without his dentures the day of the interview, 08/29/17. Unit Manager (UM) #87 was interviewed on 09/05/17 at 8:30 a.m. UM #87 stated several weeks ago there was a miscommunication with Emergency Medical Services (EMS) and Resident #73 was transferred to his appointment at the wound care facility wrapped in a sheet and dressed only in an incontinence brief. UM stated EMS did not want to wait for the resident to be dressed, and that is why they did not inform the staff Resident #87 was not dressed appropriately for an appointment. UM #87 was unable to explain why Resident #73 was in bed dressed only in an incontinence brief when EMS arrived. However, he stated it was breakfast time and hectic. He also stated Resident #73 had recently been admitted and the facility was not aware he had an appointment at the wound care facility the morning he was transferred only in an incontinence brief. UM stated he would have made sure Resident #87 had been dressed if he had been aware the resident was not dressed. During the interview on 09/05/17 at 8:30 a.m., UM #87 also stated he was aware that Resident #73 had been transferred to the wound care facility without his dentures. UM stated he didn't feel the resident needed his dentures for a wound care clinic. However, because the resident's family member stated she preferred the resident to wear his dentures to appointments, staff now made sure this was done. On 09/05/17 at 9:35 a.m., Resident #73 was observed being transported by EMS to his appointment at the wound care facility. Morning hygiene had been performed, and resident was dressed in a shirt and pants. He was wearing dentures. During an interview on 09/05/17 at 9:35 a.m., EMS stated they had never transported Resident #73 before, and, therefore, were unable to provide information regarding the incident during which he was dressed only in an incontinence brief. However, EMS stated the facility usually had residents ready for transportation to appointments. EMS stated they would alert the nurse if a resident was not dressed, but sometimes they have to transport the resident anyway due to time constraints. The Director of Nursing was interviewed on 09/05/17 at 11:16. She provided no further information regarding the situation. | 2020-09-01 |