| 3857 |
PRINCETON CENTER |
515028 |
1924 GLEN WOOD PARK ROAD |
PRINCETON |
WV |
24740 |
2017-01-19 |
242 |
D |
0 |
1 |
DBHB11 |
Based on resident interview, family interview, record review, and staff interview, the facility failed to ensure two (2) of three (3) resident's reviewed for the care area of choices during Stage 2 of the Quality Indicator Survey (QIS) received personal care consistent with their past interests. The residents' choice for bathing practices, an aspect of their lives that was significant to them, was not consistent with their past preferences. Resident identifiers: #69 and #35. Facility census: 62. Findings include: a) Resident #69 At 11:47 a.m. on 01/16/17, when asked, Do you choose how many times a week you take a bath or shower? the resident responded No, and said he would shower every day if at home. The resident said when he was admitted to the facility in (MONTH) (YEAR), he was told by staff what his shower days would be. He did not feel he had a choice because, That is the schedule here. At 12:40 p.m. on 01/17/17, when asked how the facility determined a resident's shower schedule, corporate Registered Nurse (RN) #108 identified Licensed Practical Nurse (LPN) #93 as the one who would have spoken to Resident #69 regarding his shower scheduled. At 12:45 p.m. on 01/17/17, LPN #93 said the resident's room number and bed determined shower schedules. She said she told the residents when they would receive their showers and if she received no feedback, she assumed this schedule was okay with the resident. On 01/17/17 at 12:55 p.m., the surveyor and the director of nursing (DON) spoke with the resident regarding the shower schedule. Resident #69 said he would like a shower daily and the evening would be fine with him. The DON told the resident his request would be honored. Review of the care plan found the resident had capacity to make decisions regarding his care. b) Resident #35 The resident's medical power of attorney (MPOA), interviewed during Stage 1 of the QIS at 12:53 p.m. on 01/16/17, said the resident did not receive the same number of showers based on past preference. The MPOA said showers were given three (3) times a week and a bed bath was to be provided on the days when showers were not provided. The MPOA said the resident would have a shower daily if she were at home. Three (3) showers a week would be all right if she would just receive a bed bath in between the shower days, but this isn't happening. At 12:40 p.m. on 01/17/17, Corporate Registered Nurse (RN) #108 was asked how the facility determined a resident's shower schedule. RN #108 identified Employee #93 as the Licensed Practical Nurse (LPN) who discusses the shower schedule with the residents on this resident's hallway. At 12:45 p.m. on 01/17/17, LPN #93 said shower schedules are determined by your room number and bed. She said she tells the resident when they will be receiving their showers and if she receives no feedback, then she assumes this schedule is OK with the resident. On 01/18/17 at 10:00 a.m. review of the computerized shower schedules for the months of (MONTH) (YEAR) and (MONTH) (YEAR) found the resident received only one (1) bed bath, which occurred on 12/13/16. According to the documentation on the shower scheduled, the resident received a shower on 12/01/16, 12/03/16, 12/06/16, 12/08/16, 12/10/16, 12/15/16, 12/17/16, 12/20/16, 12/22/16, 12/24/16, 12/27/16, 12/29/16, 12/31/16, 01/03/17, 01/05/17, 01/07/17, 01/10/17, 01/12/17, 01/14/17, and 01/17/17. At 8:40 a.m. on 01/19/17, these findings were provided to the administrator, director of nursing, RN #108, and Vice President of Operations #112. The facility provided no further information as of the close of the survey on 01/19/17 at 3:45 p.m. |
2020-04-01 |