cms_WV: 2593
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2593 | WILLOW TREE HEALTHCARE CENTER | 515156 | 1263 SOUTH GEORGE STREET | CHARLES TOWN | WV | 25414 | 2020-02-26 | 679 | D | 0 | 1 | UH0711 | Based on observation, record review, and staff interview, the facility failed to implement an ongoing resident centered activities program designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident. An individualized resident centered activity program was not created to provide opportunities for Resident #28 to have a meaningful life by meeting the special needs of a resident on Hospice services. Recently admitted Resident #47 was not provided activities to assist with the adjustment of being in a long term care facility. This practice was found for two (2) of twenty-two (22) residents reviewed during the LTCSP. Resident identifiers: #28 and #47. Facility census: 102. Findings included: a) Resident #28 On 02/24/20 at 11:00 PM observed Resident #28 sitting in the common area at a table on the 300 unit looking at the wall on the other side of the table. A television on the wall at the end of table was not turned on. Upon initial interview inquiry Resident #28 stated, Just sit here. Further interview inquiry was unable to be completed due to the resident's cognition. Continued random observations on 02/24, 02/25 and 02/26/2020 at various times throughout the day consistently found Resident #28 sitting in the common area at a table on the 300 unit looking at the wall on the other side of the table with no activity. One observation on the morning of 02/25/20, a magazine was in front of the resident on the table. On 02/25/20 at 8:20 AM, review of the medical record revealed Resident #28 was admitted to Hospice services on [DATE]. An Activities Progress Note dated 1/16/2020 states (typed as written): .continues to be an active participant in group activities on her unit. Her interests include spa day, hand massages, nail painting, table games, food/movie/music socials, special events, trivia, group discussions, skimming through the Spirit newspaper and magazines, spending time outdoors, cooking club, reminiscing, watching TV, family visits, and socializing with other residents in the lobby on her unit. Activities will continue to encourage group and independent activity participation and will provide supplies PRN. Care plan interventions include: Encourage/invite resident to participate in group/independent activities of stated interest such as reminisce, spa day, hand massages, nail painting, cooking club, music/food/movie socials reading, arts & crafts, outdoor activities. A list of resident's receiving 1 to 1 activities provided by the Activities Director lacked Resident 28's name as receiving individualized activities. During confidential interview Employee #F stated, She (Resident #28) never goes outside because the staff is too busy taking the smokers outside. She never complains but she does not get the stimulation that activities would provide. The television is on sometimes but no one plays music for her. Sometimes someone will come and talk with her but not often. The 300 unit is closed off requiring staff to either use the elevator or stairs to go downstairs and the majority of residents are on the first floor who are more alert and oriented. b) Resident #47 During an interview on 02/24/20 at 02:44 PM, Resident #47 states, I don't know what activities are and have never had anyone explain that except you. So I guess I don't get any activities. I would like to go outside sometimes to get a breath of fresh air but everyone is too busy and they wont let me go by myself. Random observations on 02/24, 02/25 and 02/26/20 at various times reveled no activities for Resident #28, nor was he taken outside. Record review on 02/25/20 at 12:20 PM revealed Resident #47 was admitted to the facility for long term care on [DATE]. Admission Minimum Data Set (MDS) with assessment reference date (ARD) of 01/19/20 under section G, item F0500; How important is it to you to go outside to get fresh air when weather is good; coded as #2 Somewhat important. During confidential interview Employee #F stated, He (Resident #47) never goes outside because the staff is too busy taking the smokers outside. An interview was requested multiple times with Activities Director through out the day on 02/26/20 and to view activity records for Resident #28 and #47. The Activities Director did not respond to this request. After the Administrator was notified of a citation for activities, the Activities Director entered the room just prior to exit conference without the requested activity records. No further information was provided prior to exit. | 2020-09-01 |