cms_WV: 9198
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9198 | EASTBROOK CENTER LLC | 515089 | 3819 CHESTERFIELD AVENUE | CHARLESTON | WV | 25304 | 2011-06-08 | 241 | D | 0 | 1 | MZQB11 | Based on observation, resident interview, and staff interview, the facility failed to provide care in an environment at meal time that provided and maintained each resident's dignity. Three (3) of thirty-eight (38) Stage II sampled residents were not treated in a dignified manner at meal time. Resident #228 was not provided with a bedside table for use during meals and was, instead, provided a small plastic isolation cart with wheels; the height of the isolation cart was not adjustable, and the resident spilled food on her gown and bed linens as she attempted to feed herself. Resident #70 was served her meal well after her roommate, was asked if she wanted a bib, and was not given adaptive utensils as per her tray slip. Resident #85 was also not served his meal in a timely manner. Facility census: 149 at the onset of the complaint investigation on 05/18/11 and 144 at the onset of the annual survey on 05/24/11. Findings include: a) Resident #228 During the initial tour of the facility on 05/18/11 at 12:00 p.m., this resident was observed eating her lunch in her bed. Her tray was sitting on a plastic cart with wheels, which was located on the left side of her bed. This was noted to be her isolation cart with supplies in it required for maintaining contact isolation precautions. Resident #228 was feeding herself with her right hand, and her left arm was just lying on the bed. She was reaching over and getting chili on her spoon and was having difficulty getting it to her mouth without spilling it on her gown and bed linens. She said she could do it, but she just had to do a little bit at a time. When questioned about the cart her tray was sitting on, she stated she guessed that was all they had. She stated she ate on it earlier that morning. She stated someone fixed that up for her or she probably wouldn't have had anything to sit her tray on. She said, It doesn't look like much, but at least it works. She verified she could not use her left arm because she had a stroke and she was having a difficult time reaching over that side to get to her tray. Employee #67 (housekeeping aide) was passing by the room at 12:15 p.m., and this surveyor ask him if he knew why Resident #228 did not have a bedside table. He stated he was not sure why she did not have one, but he would get her one. He obtained an overbed table for this resident, and she stated this was much better. -- b) Resident #70 Random observations were made of lunch service on the second floor on 05/24/11. These observations began within one (1) hour of entrance into the building to begin the Medicare / Medicaid certification resurvey. At 12:02 p.m., Resident #70 was sitting in a wheelchair in her semi-private room between the two (2) beds. Her roommate (Resident #175), who was sitting up in bed, had been served and was eating her lunch. When Resident #70 was asked whether she was hungry, she nodded in the affirmative. At 12:16 p.m., Employee #118 (nursing assistant) entered the room. She said, You don't have a bib, and went to find one. She returned and put a bath towel across the resident's chest and around her neck. Resident #70 was not served until 12:37 p.m. - more than thirty-five (35) minutes after her roommate had been served. Additionally, Resident #70 was not provided with the adaptive utensils as identified on her tray slip. When asked about this, she spelled on her communication board, They probably forgot. The resident's dignity was not enhanced as follows: - She sat for at least thirty-five (35) minutes after her roommate was served; - The staff member called the clothing protector a bib, which is most commonly associated with infants; - A towel was used rather than adult clothing protector; and - She was not provided with the special utensils, which had the potential to make her feel unimportant / forgotten. -- c) Resident #87 At 12:00 p.m. on 05/24/11, Resident #40 was observed eating lunch in his room. His roommate (Resident #87) had not been served. When asked whether he had had his lunch for long, Resident #40 said, About five (5) minutes. It was noted he had already consumed approximately half of his meal. At 12:14 p.m., Resident #40 had finished his meal, but Resident #87 had yet to be served. At 12:23, Employee #131 (nursing assistant) was asked about the meal service. She said residents who could feed themselves were served first, then the residents who had to be fed were served. At approximately 12:40 p.m., Employee #118 (nursing assistant) passed by the resident's room and was heard to comment, (Resident #87's first name) basically feeds himself. Resident #87 was not served his lunch until 12:52 p.m., when Employee #92 (nursing assistant) sat down to feed him. (During subsequent observations, the resident was noted to feed himself.) A red napkin was noted on the resident's tray. At 12:56 p.m., Employee #69 (nursing assistant) was asked what the red napkin meant. She said it was to alert staff to let the residents try to feed themselves but to keep checking on them and feed the residents if necessary. Resident #87 was not served for nearly an hour after his roommate (Resident #40) had been served his lunch. | 2016-01-01 |