cms_WV: 3692
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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3692 | JACKIE WITHROW HOSPITAL | 5.1e+110 | 105 SOUTH EISENHOWER DRIVE | BECKLEY | WV | 25801 | 2018-07-12 | 657 | D | 0 | 1 | SQBP11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident interview, and staff interview, the facility failed to revise a care plan in the care area of activities of daily living (ADL). This was true for one (1) of one (1) resident reviewed for ADLs during the Long-Term Care Survey Process (LTCSP). This practice had the potential to affect more than a limited number of residents. Resident identifier: #4. Facility Census: 72. Findings included: On 07/09/18 at 03:26 PM observation of resident revealed Resident#4 had greasy hair, body odor, and was wearing a dirty t-shirt stained with what appeared to be dried food. The resident said she did not get the help she needs to clean herself up. Review on, 07/10/18 at 03:00 PM, of a quarterly minimum data set (MDS) with an assessment reference date (ARD) 03/28/18 revealed the resident has unclear speech and sometimes makes herself understood. The resident has ability to understand others and her Brief Interview for Mental Status (BIMs) score is fifteen (15) indicating resident is cognitively intact. Resident #4 needs supervision with dressing and bathing and limited assistance with personal hygiene. The resident is frequently incontinent of bladder and always with bowel. Pertinent [DIAGNOSES REDACTED]. On 07/11/18 at 10:00 AM, review of records revealed resident was admitted to the facility on [DATE]. Review of care plan revealed a problem area, Resident has selfcare deficit; requires assist with ADLs. Resident has behaviors of asking staff to perform ADL tasks for her that she is capable of doing. Interventions initiated in (YEAR) and (YEAR) included; Encourage resident to exercise and walk as much as possible daily; TED hose .applied in morning remove at bedtime; Encourage good personal hygiene; Shower with Shampoo 2x weekly and prn; personal hygiene non shower days; denture care; nail care; shave axilla and legs prn; hair care daily; right side bed cane assist with mobility; encourage resident to be as independent as possible, Trapeze bar to bed to assist with turning; and no lifting heavy objects, restriction of 10 pounds. Review of record on 07/11/18 at 6:10 PM revealed a care conference was held on 07/11/18 at 12:17 PM. The Medical Director wanted to attend due to issue he wanted addressed and was present at the meeting. Among the issues addressed was resident's non-compliance with personal care. At the meeting the Medical Director wanted to see more cooperation from the resident in the issues mentioned at the meeting as the issues had been going on too long. The resident denied non-compliance with some issues including taking showers and attending to her personal care. Before the Medical Director left the room, he wanted three (3) specific issues monitored/documented for the next two (2) weeks. The third issue was allowing staff to assist her with daily personal care. i.e., showers, clean clothing, hair shampoo. An interview with Unit Manager Registered Nurse (RN#150), on 07/12/18 at 09:30 AM, revealed RN#150 was hired in (MONTH) of this year. RN#150 said ever since she has been here the resident was not compliant with activity of daily living (ADL) care. I was told it had been going on for a while before I came, and it is an ongoing issue. RN#150 was not aware of the resident asking staff to perform ADL tasks for her that she is capable of doing for herself. RN#150 said she must go in frequently to encourage the resident to do ADLs. During the interview HSW#22 came to the nurse's station to ask for assistance from RN#150 to get Resident #4 to take a shower. On 07/12/18 at 09:49 AM, care plan was reviewed with Minimum Data Set (MDS) Nurse (RN#13), who is also responsible for the development of care plans. Review of care plan with RN#13 revealed, RN#13 confirmed care plan needed to be revised in the area of ADLs, and should have already been revised with some new person-centered interventions for the resident's on-going and current non-compliance with ADLs. | 2020-09-01 |