cms_WV: 200
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 |
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200 | MADISON PARK HEALTHCARE | 515021 | 700 MADISON AVENUE | HUNTINGTON | WV | 25704 | 2017-04-19 | 242 | D | 0 | 1 | HZCX11 | Based on medical record review, resident interview and staff interview, the facility failed to ensure a resident received his desired two (2) showers per week for two (2) of the most recent six (6) weeks. This was evident for one (1) of four (4) residents reviewed for choices. Resident identifier: #18. Facility census: 39. Findings include: a) Resident #18 During an interview with Resident #18, on 04/17/17 at 11:59 a.m., he said he would prefer to have showers three (3) times per week. He stated his belief that staff is aware of this desire, but too busy to honor his choice for three (3) showers per week. He said he does not always get even two (2) per week. Review of the significant change minimum data set (MDS) with assessment reference date (ARD) of 03/03/17, found his brief interview of mental assessment (BIMS) score was fourteen (14) out of a possible score of fifteen (15). A BIMS score of fourteen (14) indicates intact cognition. According to this assessment, the resident required extensive assistance for personal hygiene, and required physical help in part of the bathing activity. Review of the shower records, on 04/18/17 at 9:56 a.m., found this resident was scheduled for two (2) showers per week, on Tuesdays and Fridays. Further review found that of the past six (6) weeks, were two (2) weeks where he received only one (1) shower per week. There was no evidence found that he had refused showers, or that he was out of the facility those weeks. The week of 03/12/17 through 03/18/17, he received only one (1) shower, on 03/17/17. The week of 03/26/17 through 04/01/17, he received only one (1) shower, on 03/31/17. An interview was conducted with licensed practical nurse (LPN) #40, on 04/18/17 at 10:12 a.m. She said she was unaware this resident wanted three (3) showers per week. She said if a resident requested changes in his shower schedule, she tells the assistant director of nursing (ADON) #76, who would then make changes in the shower schedule. An interview was then conducted with nurse #76 on 04/18/17 at 10:29 a.m. She said when residents first come to the facility, they are asked how often they want to receive showers. She said after they have been here awhile, sometimes they might make changes. Upon inquiry as to whether two (2) showers per week were this resident's preference, she replied in the affirmative. She said she was not aware of this resident having asked anyone for three showers per week. She asked him at this time, and he replied that he would like three (3) showers per week. At this time he selected Tuesdays, Thursdays, and Saturdays for his shower days. Nurse #76 said she would change the shower schedule to honor his request. Next, we discussed the recorded showers for the most recent six (6) weeks that are located in the shower book at the nurse's station. Nurse #76 reviewed the shower book, and reviewed computer entries. She found that the only documentation on 03/14/17 and on 03/28/17 pertaining to showers just said not applicable. She could find no evidence that he refused showers on those dates, or that he was out of the facility on those dates. She then went to her office to see if she might find other shower sheets that had not been filed for some reason. The outcome was that she could find no evidence that he received two (2) showers per week during the weeks of 03/12/17 through 03/18/17, and 03/26/17 through 04/01/17. | 2020-09-01 |