cms_WV: 8237
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8237 | ELDERCARE HEALTH AND REHABILITATION | 515065 | 107 MILLER DRIVE | RIPLEY | WV | 25271 | 2012-05-03 | 312 | D | 0 | 1 | 9YCU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, and interview, the facility failed to provide the care and services needed for a resident comprehensively assessed as dependent on staff for activities of daily living. This affected 1 of 5 residents reviewed for the care area of Activities of Daily Living. (Resident # 13) Findings include: a) Resident #13 Review of the medical record for Resident #13 revealed a most recent admission date of [DATE]. Pertinent [DIAGNOSES REDACTED]. The most recent Minimum Data Set (MDS) a comprehensive assessment, dated 02/27/12, revealed Resident #13 had both short and long term memory problems. The MDS also revealed the resident had moderately impaired decision-making skills and required cues and supervision. Resident #13 was also assessed to be dependent on staff for bed mobility, transfers, dressing, eating and personal hygiene. Review of the care plans for Resident #13 revealed a care plan dated 03/14/12 related to the resident's self-care deficit due to her chronic illness, [MEDICAL CONDITION], weakness and decreased ability for understanding. The interventions for the care plan included: to provide the resident with a wet wash cloth and give simple instructions and cues to wash her own face and hands, to provide assistance with oral hygiene and grooming daily, to provide extensive to total assistance during shower and daily bathing, and to provide simple choices of clothing daily. The same interventions were noted to be listed on a document titled, CNA Care Card, found in a binder at the nurses station. Resident #13 was observed in bed wearing a pink night gown on 04/30/12 at 2:40 p.m., on 05/01/12 at 10:02 a.m., 11:11 a.m., 12:45 p.m., 1:59 p.m., and 3:14 p.m. Resident #13 was also observed in bed wearing the same pink night gown on 05/02/12 at 7:06 a.m. and 11:15 a.m. On 05/02/12 at 11:15 a.m., Nurse Aide (NA) #83, identified as one of the NAs caring for Resident #13, stated the resident gets up to the chair once a day around 4:30 in the afternoon, receives a bed bath daily and a shower twice a week in the afternoon around 2:30 p.m. NA #83 stated there was a shower book that told them when the residents were to receive a shower and another book that told them what care each resident required. During an interview on 05/02/12 at 12:34 p.m., NA # 109, identified as the NA caring for Resident #13, stated the resident received a shower every Tuesday and Saturday or whenever she had time. It was verified during the interview that Resident #13 did not have a shower on 05/01/12 as she should have and NA #109 did not change her night gown because she did not have time. NA #109 verified she was scheduled to work 05/01/12, 05/02/12, and 05/03/12. During interview with the Director of Nursing, on 05/03/12 at 10:27 a.m., it was verified the expectation was Resident #13 would have her clothes changed daily. It was also verified the NAs were to provide care as directed by the NA care cards located in binders at the nurses' station. | 2016-07-01 |