cms_WV: 201
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 201 | MADISON PARK HEALTHCARE | 515021 | 700 MADISON AVENUE | HUNTINGTON | WV | 25704 | 2017-04-19 | 246 | D | 0 | 1 | HZCX11 | Based on staff interview, resident interview and record review, the facility failed to ensure reasonable accommodations were attempted to allow Resident #2 to be able to have his preference of a shower. This was true for one (1) of three (3) residents reviewed for the care area of choices during Stage 2 of the Quality Indicator Survey (QIS). Resident identifier: #2. Facility census: 39. Findings include: a) Resident #2 During an interview with the resident, at 12:04 p.m. on 04/17/17, the resident said he would like to be able to take a shower instead of a bed bath. He said he gets his bed baths two times a week but he is unable to shower because the shower chair hurts his hip. Review of the bathing schedule in the facility's point of care computer system, at 10:30 a.m. on 04/18/17, found the resident was coded as receiving, bathing, on every Tuesday and Friday during the months of (MONTH) and April, (YEAR). The point of care system noted the resident prefers a shower. At 10:30 a.m. on 04/18/17, Registered Nurse (RN) #23, the facility consultant for minimum data set (MDS) said the system does not designate a bed bath or a shower, just bathing. At 11:00 a.m. on 04/18/17, Nurse Aide (NA) #59, said she has occasionally bathed the resident. She said the resident wants a bed bath because she believed he had a fear of the shower. She thought the resident had fallen in the shower before. NA #59 said the showers/bed baths are recorded on paper before being put in the computer. The following paper information was provided by NA #59: --03/14/17, bed bath, resident says shower chair hurts him --03/17/17, the resident received a bed bath --03/21/17, bed bath, resident said he wanted to take a shower, then said he did not want one --03/31/17, resident requests bed bath complains of pain with shower. NA #59 was unable to locate all the paper documentation of the resident's bathing schedule. Review of the current care plan found staff should prove a sponge bath when a full bath or shower can not be tolerated. Review of the most recent, quarterly MDS with a assessment reference date (ARD) of 01/27/17, found the resident scored a 15 out of 15 on his brief interview for mental status (BIMS). A score of 15 indicates the resident is cognitively intact, and is the highest score obtainable. At 11:27 a.m. on 04/18/17, the assistant director of nursing (ADON) #76, was interviewed. ADON #76, said, They tell me his hip hurts when he gets a shower. ADON #76 said the facility has two (2) shower chairs, a smaller one and a larger one. She said the facility did not have a shower bed because the showers are so small. She was asked if the facility had tried anything else such as padding the shower chair or any intervention that might make it possible for the resident to shower. She was not aware of any interventions tried by the facility At 11:30 a.m. on 04/18/17, the resident was interviewed with ADON #76 present. The resident again said he wanted to take a shower. He said he slips and slides in the shower chair, causing his hip to hurt. NA #10 was also in the resident's room when the resident was interviewed. NA #10 said, I don't remember when, but the last time I tried to shower him, he never made it through the whole shower because his hip was hurting, he slips in the shower chair. At 9:57 a.m. on 04/19/17, Chief Nursing Officer, RN #43 was interviewed. RN #43 was unable to provide evidence the facility had tried other means to accommodate the resident's preference for showers instead of bed baths. | 2020-09-01 |