cms_WV: 842
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 842 | DUNBAR CENTER | 515066 | 501 CALDWELL LANE | DUNBAR | WV | 25064 | 2019-07-02 | 561 | D | 0 | 1 | LUON11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, record review policy review and staff interview, the facility failed to ensure the resident had the right to make choices about aspects of their life which were important to them. For Resident #106 and Resident #94 the facility failed to allow the resident to make choices about their bathing schedule. For Resident #49 the facility failed to allow her to make choices about her bathing schedule and her religious preferences. This was true for 3 of 5 residents reviewed for the care area of self-determination. Resident identifiers: #49, #106, #94. Facility census: 117. Findings included: a) Resident #49 1. Bathing Schedule: During an interview on 06/24/19 Resident stated, I would like to get more showers, since I have moved over here (Maple Unit) I hardly get any. I am supposed to get at least two (2) a week. Resident was noted to have transferred from Dogwood Unit room [ROOM NUMBER]A to Maple unit room [ROOM NUMBER]B on 05/13/19. Review of Activities of Daily Living (ADL) sheets for Resident #49 revealed Resident received showers for only 4 out of 8 opportunities in May, and 4 out 9 opportunities in June. Record review indicated the shower schedule for when Resident was residing in room [ROOM NUMBER]A in the Dogwood unit was Monday and Thursday. The shower schedule for the Maple Unit while Resident was residing in room [ROOM NUMBER]B was Wednesday and Saturday. After Resident was transferred from room [ROOM NUMBER]A to room [ROOM NUMBER]B on 05/13/19, the Resident went for days in a row from 05/15/19 - 5/18/19 without any type of bathing, and only received two (2) showers (on 06/14/19, and on 06/25/19) thereafter through the end of June. Review of Resident's care plan revealed an active focus point that stated, (Resident's first name) stated that it is important that she has the opportunity engage in daily routines that are meaningful relative to their preferences, with a goal of, Resident will plan and choose to engage in preferred activities daily, and an intervention pertaining to bathing of, It is important for me to choose between a tub bath, shower, bed bath, or sponge bath. On 07/02/19, DON agreed that the Resident did not receive adequate bathing of her choice, and someone should have caught the issue by now by reviewing the ADL sheets. 2. Religious Preferences: During initial screening process on 06/24/19 at 10:56 AM Resident stated she would like to have church every Sunday instead of just once or twice a month. Review of Activities Calendar for the month of (MONTH) 2019 revealed the facility only provided the Resident with one (1) out of (5) opportunities to attend church worship service on Sunday. On 07/01/19 at 8:40 AM during an interview the Activities Director (AD) verified the (MONTH) Activity calendar to only include one (1) opportunity for the Resident to attend church services on Sunday (06/02/19) for the month of June. AD stated activities such as Father's Day celebration, bird watching, and bowling replaced the opportunity for church services on the other Sundays of the month. Review of the Facility's policy REC200 titled Resident/Patient's Choice stated Residents/Patients have the right to participate in leisure and recreation of their choosing. Review of the Facility's policy REC201 titled Spiritual Support stated spiritual and religious activities will be available to residents and their families on a routine basis and include worship services. Review of Resident's care plan revealed an activity focus point that stated, (Resident's first name) stated that it is important that she has the opportunity engage in daily routines that are meaningful relative to their preferences, with a goal the Resident will plan and choose to engage in preferred activities daily, and an intervention that stated:, Encourage and facilitate residents/patients activity preferences daily chronical, bingo, church service, special events, music. During an interview on 07/2/19 at 9:00 AM, social services specialist #96 stated, We (the facility) have piano playing, hymns, and bible study on Tuesdays. But you are right, we don't have actual church services for worship routinely every Sunday. b) Resident #106 1. Bathing Schedule: During an interview on 06/25/19 at 10:30 AM, Resident stated, Not enough showers. I never get bathed on the weekends, they act like I am irritating them. Review of Residents Activity of Daily Living (ADL) sheets for the past two (2) months revealed the Resident was only provided with a bed bath during bathing, no documentation that a shower was ever given or refused. The Resident was not provided with any type of bathing for the following dates: --05/04/19 - Saturday --05/05/19 - Sunday --05/11/19 - Saturday --05/17/19 - Friday --05/18/19 - Saturday --05/19/19 - Sunday --05/24/19 - Friday --05/25/19 - Saturday --05/26/19 - Sunday --06/08/19 - Saturday --06/29/19 - Saturday --06/30/19 - Sunday Review of Dogwood Shower List (unit of which Resident resided) indicated Resident's shower schedule was to be every Tuesday and Friday. Review of Residents care plan revealed an active focus area for bathing that stated: Resident requires assistance/is dependent for ADL care in bathing, grooming, personal hygiene, dressing, eating, bed mobility, transfer, locomotion, toileting related to [MEDICAL CONDITION], Dementia, with an intervention of, Provide resident with total assist of 1 for bathing. On 07/02/19 at 9:19 AM, Director of Nursing (DON) agreed that the Resident did not receive any bathing during the weekends as indicated for the dates in (MONTH) and June. No further documentation was provided. c) Resident #94 During an interview with Resident #94 at 3:15 p.m. on 06/24/19 she stated she would like to have at least two (2) showers per week and that is what she is supposed to get but she has only had two (2) showers total since her admission to the facility in February, 2019. Review of the facility's shower schedule at 1:30 p.m. on 06/26/19 found Resident #94 should be showered every Wednesday and Saturday. A review of Resident #94's ADL Flow Sheets for the time period of 02/19/19 (date of residents admission) through current found Resident #94 only received a shower on the following dates: 02/27/19; 04/06/19; 04/17/19 and 05/29/19. Resident had no showers in the Month of 06/2019. Resident #94 had only two (2) documented refusals and only received four (4) of her scheduled 37 showers. An interview with Nursing Home Administrator, and Director of Nursing at 2:06 p.m. on 06/26/19 confirmed Resident #94 had not received her showers as scheduled. They reviewed the ADL documentation and confirmed this would be the only place a shower or refusal would be documented. | 2020-09-01 |