cms_WV: 3926
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3926 | BRIGHTWOOD CENTER | 515128 | 840 LEE ROAD | FOLLANSBEE | WV | 26037 | 2016-11-04 | 315 | D | 0 | 1 | VTNG11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure one (1) of three (3) residents incontinent of bladder receives the appropriate treatment and services to restore normal bladder function to the extent possible. Resident #143's increase in urinary incontinence was not assessed after each admission and interventions were not put into place to address the decline in bladder control. Resident identifier: #143. Facility census: 109. Findings include: a) Resident #143 Review of the medical record on 11/03/16 at 9:51 a.m., revealed Resident #143 was initially admitted to the facility on [DATE]. She was discharged to the hospital on [DATE] and returned to the facility on [DATE]. Resident #143 returned to the hospital on [DATE] and was readmitted to the facility on [DATE]. The three-day continence management diary initiated on 06/29/16 noted Resident #143 was incontinent three (3) out of twenty-eight (28) checks on 07/01/16, 07/02/16, and 07/06/16. The Admission Minimum Data Set (MDS) with an assessment reference date (ARD) of 07/04/16 noted the resident was always continent of urine under section H0300. The activity of daily living forms dated (MONTH) (YEAR), (MONTH) (YEAR) and (MONTH) (YEAR) identified Resident #143 as always incontinent of urine since 07/22/16. The quarterly MDS with an ARD of 10/03/16 noted the resident as always incontinent of urine and is marked No under section H0200 indicating a toileting program was not attempted. The medical record was silent in regards to any toileting assessments. The Clinical Records Coordinator (CRC) #93 reviewed the records during an interview on 11/03/16 at 12:11 p.m., confirmed Resident #143 was initially occasionally incontinent of urine and is now always incontinent. She acknowledged the urinary incontinence was not identified during Resident #143's recent quarterly assessment and a plan was not put into place to address this concern. CRC #93 stated it is the restorative nurse's job to conduct the three-day continence management diaries on the residents. Licensed practical nurse (LPN)/restorative nurse #146 presented Resident #143 ' s initial toileting assessment during an interview on 11/03/16 at 12:24 p.m. The form is titled Three-day Continence Management Diary and is completed by the nursing assistants. LPN #146 acknowledged she was not familiar with Resident #143 and reported there were no urinary incontinence assessments completed after readmissions on 07/18/16 and 08/08/16. LPN #146 stated she does not participate in the residents care conferences and is notified when an assessment needs to be completed. During an interview at 2:05 p.m. on 11/03/2016, the Assistant Director of Nursing (ADON) confirmed a three day continent assessment should have been done on Resident #143 after each admission. | 2020-04-01 |