cms_WV: 9405
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9405 | RIVER OAKS | 515120 | 100 PARKWAY DRIVE | CLARKSBURG | WV | 26301 | 2010-04-08 | 315 | D | 0 | 1 | 85AT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed, for one (1) of thirty-seven (37) Stage II sample residents, to assure timely and appropriate assessment for a resident who was continent of urine when admitted to the facility and who became totally incontinent within the four (4) months following admission, in an effort to determine the possible cause and to address the incontinence to the extent possible. Resident identifier: #153. Facility census: 97. Findings include: a) Resident #153 The medical record for Resident #153, when reviewed on 04/07/10, disclosed the resident was admitted to the facility on [DATE]. According to the Nursing Admission Evaluation completed on 11/23/09, as well as the Bladder Pattering and Analysis Worksheet completed on 11/24/09, the resident was continent of bladder function. An ADL (activity of daily living) Worksheet, completed during the month of January 2010, continued to note the resident as being continent of bladder function. ADL Worksheets for the months of February, March, and April 2010 disclosed the resident had declined in urinary continence to the current status of totally incontinent. The resident's current plan of care, when reviewed on 04/07/10, noted a focus area for this resident as: Occasional urinary incontinence related to hypertonicity bladder, physical limitations. This focus area was initiated on 12/08/09, and included interventions such as using absorbant products and adult briefs and providing incontinence care as needed. The care plan had been reviewed on 03/01/10, but no changes had been implemented to reflect the decreasing urinary continence as described on the ADL Worksheets for the period of time after mid-February 2010 to the present April 2010, when the resident was described as being totally incontinent of urine. A licensed practical nurse (LPN) assigned to the care of this resident on 04/08/10 (Employee #119), when question as to the urinary continence of this resident, stated the resident was almost totally incontinent and would only occasionally ask to go to the bathroom. These findings were bought to the attention of the director of nurses (DON) and assistant director of nurses (ADON) on 04/08/10 at 10:00 a.m., and they could provide no evidence that the facility had recognized the resident's decline in urinary continence, assessed for cause, and/or implemented interventions to assist the resident to regain as much normal bladder function as possible. | 2015-11-01 |