| 3508 |
CABELL HEALTH CARE CENTER |
515192 |
30 HIDDEN BROOK WAY |
CULLODEN |
WV |
25510 |
2018-09-27 |
849 |
E |
0 |
1 |
DXEI11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, family interview, policy review and record review, the facility failed to ensure received quality care. This was true for Resident #55 the facility failed to collaborate with hospice for the development, implementation and revision of the coordinated plan of care and/or communicate and collaborate with hospice. This was true for one resident of one in the care area of hospice. Resident identifier: # 55. Facility census 89. Finding included: a) Resident #55 During an observation and interview on [DATE] at 12:40 PM, Nurse Aide (NA) #13 said that, she has not seen hospice, and does not know when hospice is to come to the facility, she said she provides a bed bath daily for Resident # 55. She is at bedside currently feeding Resident # 55. During an interview on [DATE] at 12:46 PM, Clinical Care Supervisor #73 was asked about communications and correlations with hospice. She said that the hospice registered nurse may have been to the facility, but she is not sure when. She said that, she has not seen an aide come to provide care for Resident #55. Hospice started on [DATE]. She said that she is not sure when the Hospice nurse and aide are supposed to come. She was asked if she could find any notes from the Hospice nurse. She could only find two (2) notes dated [DATE] and [DATE], both in regard to a giving the resident Intravenous (IV) fluids. She also called the DON and asked her when Hospice was scheduled to come and provide care and where can she find their notes. She the Hospice nurse and/or aide is supposed to complete a note and give it to the Charge nurse, then it will be scanned into the Resident's Chart. During an interview on [DATE] at 1:28 PM, DON was asked if she can find any notes from the hospice nurse about when a Nurse Aide, Social Worked, Clergy, and Nurse has been here. She said that, the only note she can find is that the Registered Nurse was in the facility on Thursday [DATE]. During an interview on [DATE] at 4:05 PM, Administrator was informed that staff is unaware of when the Hospice services are to provide care for Resident #55. During a phone interview on [DATE] 02:14 PM, with the Resident's daughter of the resident, she was told hospice did not have any NAs at this time, SW and the RN was in to see her on ,[DATE] or ,[DATE] for her initial assessment and Minister has been to see her mother on ,[DATE] or ,[DATE]. She said it was started on [DATE]. On [DATE] 02:28 PM DON provided Hospice notes she said she had Hospice fax to her today. This revealed that Hospice has been to the Facility for visits a total of seven (7) times. Hospice has also had eight (8) phone call communications. Dates of visits are as follows: --Social Worker visit on [DATE] at 11:15 AM until 12:00 PM. --Licensed Practical Nurse visit on [DATE] at 1:10 PM until 1:40 PM. --Registered Nurse visit on [DATE] at 1:10 PM until 1:45 PM. --Registered Nurse visit on [DATE] at 1:45 PM until 3:15 PM. --Registered Nurse visit on [DATE] at 10:06 AM. --Clergy visit on [DATE] at 2:00 PM until 2:30 PM. --Registered Nurse vast on [DATE] at 4:47 PM. --Registered Nurse visit on [DATE] at 12:15 PM until 12:45 PM. Review of records, Operations Policy Hospice Services was started on (MONTH) 25, 2014 with (name of hospice provider) stated the following: --An integrated plan of care between the resident and/or responsible party, the facility, and hospice agency will be developed that delineates the services that will be provided by the hospice staff and the survives that will be provided by the facility staff. --The integrated plan of care will be recorded in the resident's medical record, periodically reviewed, and updated, as necessary. --All communications between the hospice and facility when any changes are indicated or made to the plan of care. --The Care Plan will include Hospice services included nursing care; Medical Social Services; Counseling services (including bereavement, dietary and spiritual counseling); physical therapy, occupational therapy and speech-language pathology services; health aide/homemaker services; management of terminal illness SPECIFIED BY THE CARE PLAN. Physicians Oder's Dated [DATE] Resident #55 has expressed preferences for end-of-life care [DATE]. Facility Care Plan: Review of Care Plan revealed the following dated [DATE]: --Patient shall receive treatment in accordance with expressed wishes as documented on POST --No CPR -- DO NOT attempt resuscitation --POST form will be sent with patient to physician appointments and upon transfer/discharge --Special directives or limitations: Comfort Measures; Antibiotics, IV Fluids for a Trial Period of 30 Days; No Feeding Tube Hospices services Palliative Care due to Hospice --To be comfortable --To be pain free --Activities will visit in room, she prefers to stay in her room --Hospice nurse to visit at least weekly --Initiate Spiritual care consult if indicated Palliative Care due to Hospice [DATE] --Resident receives hospice services through (name of hospice provider) --Notify hospice of any change in condition or acute transfer to hospital. --Turn and reposition every 2 hours The care plan does not contain information regarding when the Registered Nurse, Licensed Practical Nurse, Social Worker, Aide and Clergy will visit or how often. |
2020-09-01 |