cms_WV: 1328
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1328 | HARPER MILLS | 515086 | 100 HEARTLAND DRIVE | BECKLEY | WV | 25801 | 2019-07-03 | 585 | D | 1 | 0 | X6R911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff interview, family interview, and record review, the facility failed to identify and promptly address complaints/grievances to resolution and keep residents appropriately apprised of progress toward resolution. This was true when resident council notified the facility of complaints and grievances, discussed at the 2019 (MONTH) and (MONTH) resident council meetings, concerning nurse aides (NA) taking breaks at the same time leaving the units short staffed. The facility failed to provide re-education to all nurse aides (NA) as the facility designated as their corrective action regarding this on-going resident council grievance and concern. This was also true when the facility failed to address a grievance and allegation Resident (R#7)'s family member brought to the attention of a nurse concerning a NA allegedly treating R#7 disrespectfully and being verbally abusive toward the resident. This practice had the potential to affect more than a limited number of residents. Resident identifier: #7. Facility census: 181. Findings included: a) Resident council concerns On 07/01/19 at 1:35 PM, review of Resident Council meeting minutes dated 05/16/19 and 06/20/19, revealed an issue identified by residents concerning not having enough nurse aids (NA) on the floor to assist residents, due to NAs going on breaks together at the same time. In the (MONTH) minutes, attached was a 'Resident Council Concern' form with the corrective action listed Nursing assistance will be provided with re-education on taking breaks only during assigned times and to always report to the nurse when leaving their assigned area. An interview, on 07/03/19 at 12:21 PM, with the Director of Staff Education confirmed she was responsible for providing trainings, education, and re-education to staff. The Director of Staff Education verified she was aware of the residents' grievance concerning nurse aids leaving together on breaks and being short on staff during those times. When asked for the sign in sheet of the nurse aids that attended the re-education, the Director of Staff Education said she didn't have one. She explained she does not handle filling out complaint grievance forms, and re-education was not given to all nurse aids. The Director of Staff Education stated Residents complained, I don't know who, during a resident council meeting. We gathered the NAs at the nurse's desk and threatened disciplinary action. It was informal instruction given to some of the nurse aids, it was more like a pow wow, and it was taken care of and resolved. This surveyor asked if the issue was resolved, why did it show up again in June's resident council minutes. The Director of Staff Education did not reply. On 07/03/19 at 12:41 PM, an interview with the administrator revealed the process for grievances and concerns. The administrator said, If a resident reports a person or has a grievance it will be directed to the appropriate supervisor, and the supervisor will do a grievance form. When a concern form is generated it goes to the grievance official, and they do customer services. Of course, if it's reportable it goes to the proper agencies. The goal is to have it resolved in 5 days. During resident council it is reported to the activities director and additional forms are filled out and sent to the appropriate Department managers. When asked who filled out the resident council concern form dated 05/16/19, the administrator verified she had completed the form and had written the corrective action. When asked what her expectation of the corrective action was, the administrator verified that all nurse aids should have received the re-education and a sign in sheet confirming their participation should have been completed. b) Resident R#7 grievance and allegation of verbal abuse was not addressed On 07/03/19 at 1:25 PM, an interview with resident R#7 daughter revealed several issues and concerns regarding the resident. The daughter expressed she felt the resident needed more supervised time on the omni cycle due to the beneficial effects it has on her Mom. The daughter stated the weekend prior to the resident going into the hospital on [DATE], words were exchanged between herself and a restorative nurse aide. The daughter stated on 06/15/19, the restorative aide refused to get the resident on the Omni cycle, even though the daughter explained how much Mom loves this cycle and how important it was for her to have her time on the cycle. The daughter said, The restorative NA#1 got an attitude, and pointing at mom said, I tried before and she swatted at me, and I am not going to cater to her. She was rude and disrespectful to mom, she was abusive and refused to get my mom on the cycle. The daughter was asked where this exchange of words occurred, and she replied in the common area beside the nurse's station in front of the other residents, visitors, and staff. When asked if she had reported the incident to anyone the daughter replied, Staff was standing around, they saw and heard it. On Monday morning, when I came back to visit mom, though I did tell the Unit Nurse Manager (RN#59). The daughter said she has heard nothing else about it, as far as she knows they've done nothing about it. Interview with Unit Nurse Manager (RN#59), on 7/03/19 at 4:46 PM, revealed the daughter did report the incident as described to this surveyor to RN#59. RN#59 confirmed she did not fill out a grievance about the incident, nor did she identify any part of it as a reportable allegation. As far as RN#59 knew it had not been investigated or reported by her or any other staff. | 2020-09-01 |