cms_WV: 5938
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5938 | ELKINS REGIONAL CONVALESCENT CENTER | 515025 | 1175 BEVERLY PIKE | ELKINS | WV | 26241 | 2015-01-07 | 244 | E | 0 | 1 | RDRC11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, resident interview, review of resident council meeting minutes, and policy review, the facility failed to act upon and/or communicate decisions made about the issues identified in resident council meetings. Residents who attended the council meetings had issues with the food they were being served and medication administration times. In addition, the residents voiced a concern over the way they were treated by the nursing staff who worked during the night shift. These practices had the potential to affect more than an isolated number of residents. Facility census: 104. Findings include: a) On 12/30/2014 at 3:40 p.m., the resident council minutes were reviewed. The review revealed the following: 1. The meeting minutes from 08/18/14 revealed the residents wanted buckwheat cakes on some mornings. They also said they would like to have a swing and a few lawn chairs for the courtyard. The activity director was interviewed on 12/30/14 at 3:40 p.m. She indicated she did not know if the residents had received the buckwheat cakes. The facility had no evidence to show they had communicated this request to the dietary department. They also had no evidence they had communicated back to the council members about their request for buckwheat cakes. On 12/30/14 at 4:25 p.m., during an interview with the certified activity director (Employee #124), she said the facility had decided, due to the construction that was going on in the courtyard area, to wait until spring to purchase the lawn chairs and swing. She was asked if the resident council members had been informed of the facility's decision to wait until spring to make the purchases. She said, No, as far as I know they have not. 2. On 09/15/14, the council met. The residents complained their vegetables were cooked to death. The response/actions on the attached dietary departmental response form showed that some residents liked their vegetables cooked soft so they could chew them, and other residents liked them crisp. The dietary department indicated they would begin batch cooking and were trying to give residents their preferences. There was no evidence this information was relayed to the council members. The other issue mentioned in September was the time of evening medications. Residents complained nursing staff were waking them up to give their evening medications. The preference from the residents was for medications to be given before 9:00 p.m. The attached departmental response from the facility indicated one (1) resident from the meeting already had their last medication of the day at 5:30 p.m. The response also indicated one (1) of the residents had a physician's order to have their [MEDICATION NAME] checked at 10:45 p.m. to ensure the patch was still in place. The facility sent a message to all nurses related to timely medication administration. During an interview with the director of nursing (DON), on 12/30/14 at 5:15 p.m., she said she had taken steps to resolve the issue of residents not getting evening medications timely, and not being awakened to receive medication at night. She said the nurses were re-educated in October 2014. She provided sign-in sheets for the October 2014 meeting. There was no evidence these actions were communicated to the residents in resident council and/or that the residents were satisfied with the facility's resolution. 3. Meeting minutes from the 10/20/14 meeting revealed two (2) residents said some of the night shift nurses were very rude and sassy with them. Attached to the meeting minutes was a departmental response form from the nursing department. It was dated 11/17/14 and stamped 2nd Notice given 11/10/14. The response form indicated two (2) residents had said the night shift nurses were rude and sassy with them. The form said no specific names were given in the council meeting. The facility documented the response action to resolve the issue was to have a meeting with all nursing staff on 12/02/14. On 12/31/14 at 10:12 a.m., Employee #124 was interviewed concerning the issue of resident council members stating some of the night nurses were very rude and sassy. Employee #124 said she knew this was a nursing issue, so she reported it to the director of nursing. She said she did not think it was abuse or she would have informed the social worker. During the discussion, she agreed the issue was an allegation of abuse and agreed if it had been investigated then the facility may have determined who was involved in the allegation and what actually occurred. During an interview with the director of nursing (DON) on 12/31/14 at 10:35 a.m., she said the facility had discussed this issue with nursing staff on 12/02/14. There was no evidence the residents were made aware this issue was discussed with nursing staff. There was also no evidence the facility followed up with the residents to ensure they no longer had concerns with the way they were treated during the night shift by nursing staff. 4. The 11/17/14 meeting minutes revealed no evidence of any issues or concerns that had been discussed or recorded. There were no references to any issues discussed or resolved from the October meeting. There were no departmental response forms to show what actions the facility took to address issues discussed during the October meeting. 5. On 12/15/14, the meeting minutes revealed issues concerning food being cooked too long. There was not a departmental response form attached to December's meeting minutes to show how this issue was addressed. There was no evidence of communication between Employee #124 and the dietary department regarding the residents' complaints over their food being cooked too long. During an interview with Employee #124, on 12/30/14 at 3:40 p.m., she said the dietitian sometimes attended the council meeting. She confirmed it was possible she had forgotten to tell all departments about issues that came up in resident council. She also confirmed the resident council meeting minutes lacked clarity of what was actually discussed, what remained from month to month in outstanding business, and how the issues identified as problematic were addressed by the facility. The activity director said if the monthly meeting minutes did not have a departmental response form attached to them, then she had not given the departments the concerns the residents had voiced. She said if the department's response form had a 2nd notice given stamp on it, that meant she had made a second attempt to get a response from a department regarding resident council concerns. b) On 12/30/14 at 4:37 p.m., during an interview with the resident council president, when asked about issues discussed at resident council meetings, the president stated that they (resident council) do not always know what the facility does about things. When asked if the facility did not always respond to concerns and/or if they give reasonable explanations as to why they did not take the action requested by the council, the resident replied Sometimes they do and sometimes they do not. When discussing issues noted in the meeting minutes for the past six (6) months, the resident council president was unable to clearly say whether or not the facility had addressed the issues. The resident said I do not know for sure, they are supposed to. When the resident was asked if nurses were ever rude to her, she stated .some of them at night can be rude and grouchy, not all of them some treat you real good. She said some of the other council members also agreed the night nurses were rude; however, she did not know the names of the nurses. The resident also stated she did not know if they (facility) did anything about the night nurses being rude or sassy. c) In reviewing resident council minutes, dated 10/20/14, it was noted that two (2) residents alleged some of the night shift nurses were very rude and sassy with them. There was no evidence the facility acted upon these allegations of abuse voiced by members of the resident council. d) Review of the facility policy on responding to the requests and concerns from resident group meetings/resident council, on 12/31/14 at 1:35 p.m., revealed when a concern or suggestion was voiced during the resident council meeting the activity director or designee would complete the resident council departmental response form. The form was sent to the appropriate department. A written response would be given for the concern/suggestion and how it was resolved. This response would be given back to the activity director. A copy of the completed form would be given to the residents at the next council meeting, under old business, the concern would be reviewed to ensure all concerns and suggestion were addressed. On 12/30/14 at 5:45 p.m., during an interview with the administrator, she stated the forms for resident council meetings, and departmental response forms were developed because the facility had a deficient practice in the past concerning resident council. She thought these forms had resolved the issues and she did not know there was a problem. The administrator agreed if the forms were used, and sections completed in their entirety with pertinent information, they would be a useful way to demonstrate the facility's coordination and communication with the resident council. | 2018-05-01 |