cms_WV: 841
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 841 | DUNBAR CENTER | 515066 | 501 CALDWELL LANE | DUNBAR | WV | 25064 | 2019-07-02 | 550 | E | 0 | 1 | LUON11 | Based on observation and staff interview, the facility failed to provide a dignified dining experience for Resident #103, Resident #79, Resident #41, Resident #11, Resident #21, Resident #64, and Resident #211 during the noon time meal in the Maple Dining Room on 06/24/19. Also for Resident #94 the facility failed to provide dignity during wound care. These were both random opportunities for discovery during the Long Term Care Survey at the facility. Resident identifiers: #103, #79, #41, #11, #21, #64, #211, and #94. Facility census: 117. Findings included: a) Maple Dining Room Observations of the noontime meal in the Maple Dining Room began on 06/2419 at 12:45 a.m When the observations began Resident #1, Resident #15, Resident #12 and Resident #42 had their meal and had eaten a large portion of their food. Theses four (4) residents were sitting at three (3) separate tables. Resident #79, Resident #41, Resident #11 were sitting at a another table and did not have their meal when this observation began. They were not served their meal until 1:05 p.m. which was 20 minutes after this observation began. Resident #21 and Resident #64 were also sitting at another table in the Maple Dining room and did not have their meal when this observation began. They were note served their meal until 1:10 p.m. which was 25 minutes after this observation began. Resident #80 and Resident #107 was also sitting at a separate table and did not have their meal when this observation began. They were not served their meal until 1:15 p.m. which was 30 minutes after this observation began. At 12:55 p.m. Resident #103 entered the dining room and sat at the table with Resident #12 who had almost consumed his entire meal by this time. Resident #103 was not served her meal until 1:17 p.m. which was 22 minutes after she entered the dining room. An interview with Nurse Aide #36 at 1:21 p.m. on 06/24/19 confirmed that all residents seated in the dining room are usually served their meal at the same time. She stated, all the trays did not come out together today and they had to keep going to the kitchen to get them. She stated they just recently changed the ways trays come out and she thinks that is what caused the problem. An interview with Registered Nurse #50 at 1:25 p.m. on 06/24/19 confirmed that all residents seated in the dining room should have been served around the same time. She agreed the meals should not have been served 20 to 30 minutes later. She said, they had to go to the kitchen to get a lot of the meals because they did not all come out at the same time. b) Resident #94 During an observation of incontinent care on 06/26/19 at 9:41 AM, peri care by Nurse Aide (NA) #59. NA #59 pulled the curtain between the residents, there was not a curtain at the bottom of the bed, the door was left open. After the care was completed it was revealed that anyone walking by this room would be able to see Resident # 94 from her waist down from hallway. During a brief interview Registered Nurse (RN) #28 and NA #59 were asked about the door being opened during the incontinent care and wound care. RN #28 stated, that they forgot to close the door. They did not know why the curtain at the bottom of the bed was missing. During an interview on 06/26/17 at 11:00 AM, Director of Nursing (DoN) was informed about the observation of the incontinent care and the door not being closed, she had no comment. | 2020-09-01 |