| 1330 |
HARPER MILLS |
515086 |
100 HEARTLAND DRIVE |
BECKLEY |
WV |
25801 |
2019-07-03 |
609 |
D |
1 |
0 |
X6R911 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on a review of reportable abuse/neglect allegations, grievance and complaint files, family interview, staff interview, and policy review, the facility failed to report to the state agency allegations of verbal abuse. This was a random opportunity for discovery. This practice had the potential to affect more than an isolated number of residents. Resident identifiers: R#7. Facility Census: 181. Findings included: Review of records, on 06/24/19 at 2:15 PM, revealed Resident (R#7) is dependent with activities of daily living (ADL). R#7 is incontinent of bowel and bladder. Some pertinent [DIAGNOSES REDACTED]. On 07/03/19 at 1:25 PM, an interview with resident R#7 daughter (Healthcare Surrogate) revealed several issues and concerns regarding the resident. The daughter said 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 restorative nurse aide (NA#1). 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 (06/17/19), 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 the incident as a reportable allegation. As far as RN#59 knew it had not been investigated or reported by her or any other staff. Review of the facilities 'Abuse, Neglect and Exploitation' policy, implemented on 11/27/17 and last revised 02/01/19, revealed the definition for verbal abuse is as follows: Verbal abuse means the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability. Under Section IV, 'Identification of Abuse, Neglect and Exploitation,' some listed factors indicating possible abuse included resident, staff or family report of abuse and verbal abuse of a resident overheard. Under Section V, 'Investigation of Alleged Abuse, Neglect and Exploitation, revealed When suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur an investigation is immediately warranted. Under Section VII, 'Reporting response of Abuse, Neglect and Exploitation, revealed to immediately report all alleged violations to the CEO/administrator . and to other appropriate agencies in accordance with current state and federal regulations within prescribed time frames. |
2020-09-01 |