cms_WV: 9472
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9472 | OHIO VALLEY HEALTH CARE | 515181 | 222 NICOLETTE ROAD | PARKERSBURG | WV | 26104 | 2011-02-02 | 248 | E | 0 | 1 | U0V411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, medical record review, staff interview, family interview, and resident interview, the facility failed to provide an activity program to meet the needs of cognitively impaired, visually impaired, and/or bed bound residents in accordance with their comprehensive care plans, to address individual interests and preferences and to promote the mental and psychosocial well-being of six (6) of thirty-seven (37) Stage II sampled residents who were reviewed for activities. Resident identifiers: #1, #5, #44, #66, #58, and #49. Facility census: 63. Findings include: a) Resident #1 Observations of this resident, from 01/24/11 to 01/27/11, found she remained in her room and in bed during the day. The resident was verbal but made only noises and gestures. This resident was non-ambulatory and required staff assistance to transfer from bed to a transport chair to attend organized activities. Further observations found this resident was not assisted to attend an organized activity, nor were any in-room activities provided. Review of the resident's comprehensive care plan, dated 11/16/11 to 02/17/11, found a goal for the resident to participate in a minimum of two (2) small group activities of her choice each week as tolerated. Interview with the activity director (Employee #79), on 01/27/11 at 9:15 a.m., revealed unscheduled room visits, [MEDICATION NAME] approximately fifteen (15) minutes each, were to be provided to Resident #1 two (2) times a week. The activity director also reported this resident enjoyed the music entertainment provided by local groups. Review of the resident's participation schedule on the recreation detail therapy reports for December 2010 and January 2011 (month-to-date), provided by the activity director on 01/27/11 at 10:50 a.m., found no evidence this resident had attended any type of out-of-room activity in facility during December 2010 or January 2011, and there was no evidence any in-room activity having been done. A follow-up interview with the activity director, on 01/31/11 at 11:30 a.m., confirmed there were no in-room activities provided for this resident during the months of December 2010 and January 2011 (month-to-date), and the resident had not attended any type of organized out-of-room activity events for these two (2) months, thus placing her at risk for social isolation and a lack of sensory stimulation. -- b) Resident #5 Observations of this resident, from 01/24/11 to 01/27/11 at 5:00 p.m., found found she remained in her room and in bed during the day. The resident was observed to be non-ambulatory, non-verbal, and requiring assistance to get out of bed. Review of the resident's comprehensive care plan, dated 10/26/16 to 02/17/11, revealed her activity goal was to attend a minimum of three (3) scheduled out-of-room activities or one-on-one (1:1) in-room activities per week to increase her social interaction. Review of the recreation therapy detail report for the months of December 2010 and January 2011 (month-to-date), provided by the activity director on 01/27/11 at 10:45 a.m., disclosed this resident received only one (1) 1:1 in-room activity during the months of December and January. In an interview at 10:00 a.m. on 01/31/11, the activity director confirmed this resident was not being provided with activities, thus placing her at risk for social isolation and a lack of sensory stimulation. -- c) Resident #44 Resident #44 was not observed in any out-of-room activities during the survey from 01/24/11 through 02/02/11. A review of the resident's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 05/21/10, found the assessor encoded in Section N (Activity Pursuit Patterns) that the resident was awake mornings and afternoons and enjoyed activities in all settings for crafts, arts, music, reading, spiritual activities, trips, walking outdoors, gardening, talking, and helping others. A review of the resident's 11/09/09 annual activity assessment found the resident's strengths included that she was able to interact well with others and demonstrated a positive sense of humor. Review of the resident's most current care plan revealed an activity goal for her to participate in a minimum of three (3) recreational activities each week, whether independently or within a group setting. One (1) of the interventions stated, Encourage (Resident #44) with baking activities as she has expressed interest in this type of hands-on-work, and she especially enjoys cooking activities involving fresh fruit. On 01/24/11 at 9:00 a.m., residents were observed in the dining room for an activity called Soup Making. Residents were observed chopping up fresh vegetables and helping prepare ingredients for the soup. Resident #44 was not observed in this activity. Review of the activity participation records for December 2010 found Resident #44 was only involved in six (6) activities for the entire month. In January 2011, the resident was involved in ten (10) activities of any kind for the month. Review of individual visits for the month of January 2011 found the resident was only visited one (1) time each week for three (3) of the four (4) weeks in the month. No individual visits occurred during the fourth week of the month. -- d) Resident #66 During Stage I of the survey, observations found Resident #66 did not attend any out-of-room activities on 01/24/11 and 01/25/11, and the resident was unable to complete an individual interview with the surveyor due to an inability to understand and respond to the questions asked. A review of the resident's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 05/03/10, found the assessor encoded in Section N (Activity Pursuit Patterns) found the resident was awake in the morning, preferred all activity settlings, and her general activity preferences included crafts, music, spiritual / religious activities, watching TV, and talking or conversing. Review of her most recent activity assessment, dated 05/06/10, found the resident's preferred activity setting included the dining room and bedroom. Documentation records in the notes section stated, The resident frequently demonstrates anxiety and tearfulness. She needs one-to-one intervention and may want to return to her room prior to an activity's conclusion. Review of her most recent care plan for activities, dated 10/28/10, revealed the following problem statement: (Resident #66) best benefits from individual one-to-one activities. She demonstrates difficulty in verbally communicating her needs and interests. Individual intervention such as reading to the resident or sensory stimulation exercises are recommended for her recreation. The goal for activities stated: (Resident #66) will take part in a minimum of two individual, one-to-one recreational visits from an activates staff member each week as evidenced by making eye contact with the staff member present and by looking at or holding objects provided for sensory stimulation. The interventions included: Provide a minimum of two individual visits with (Resident #66) each week to promote social interaction and to validate her presence within the facility. Deliver (Resident #66)'s mail to her on a daily basis, offering to open letters for her and also to read her mail out loud to her. When speaking to (Resident #66), allow ample time for her to respond verbally, but does make eye contact with the staff member present. An activity progress note, dated 01/20/11, stated, Care plan reviewed 1-20-11. No changes to the recreational activity portion of (Resident #66's) plan of care. She best benefits from individual interventions such as reading her mail aloud to her, reading scripture from the Bible, and providing music for her to listen to. Activities staff members provide a minimum of two individual visits with her each week. Review of the resident's activities participation records for December 2010 found the resident only participated in one (1) activity during that month. In January 2011, documentation reflected she only participated in two (2) activities during that month. Review of the record of individual visits for January 2011 found the resident received only one (1) individual visit, which occurred during the week of 01/02/11 through 01/08/11. During a confidential staff interview on the early afternoon of 01/31/11, this staff member reported not having seen Resident #66 receive any in-room individual visits. -- e) Resident #58 During Stage I of the survey, observations found Resident #58 did not attend any out-of-room activities on 01/24/11 and 01/25/11, and the resident was unable to complete an individual interview with the surveyor due to his inability to understand and respond appropriately to the questions asked. During an interview with Resident #58's spouse (with the resident present) just after lunch on 01/31/11, she reported she visits the resident on an almost daily basis and she takes him around the facility in his wheelchair when she visits. When the weather is good, she takes him outside. His dogs were visiting on 01/31/11, and Resident #58 indicated during this interview he enjoyed having the dogs visit him. Review of his initial activity assessment, dated 11/24/10, found the resident's former occupation included being a Master Sergeant in the US Air Force. The resident was actively involved in community and civic organizations. His current interests included cards, exercise, sports (New York Yankees), Hillbilly music, reading, walking outside, watching westerns on TV, talking, hunting and fishing, parties, social events, radio, hobbies (dogs), and groups. He preferred activities in the afternoon in all settings. The assessor also recorded on his initial activity assessment that Resident #58 expressed he had wanted to be a pilot but never got a license to fly. According to his MDS with an ARD of 11/23/10, the assessor recorded in Section F0500 (Interview for Activity Preferences) that it was very important to Resident #38 to be around animals (such as pets), to keep up with the news, and to get outside to get fresh air when the weather is good. According to his current care plan for activities dated 12/06/10, Resident #58 . needs continued stimulation and opportunities for socialization through structured recreation activities in order to maintain his cognitive and social skills decline. The goal associated with this problem statement was: (Resident #58) will exercise his decision making skills as evidenced by choosing to take part in a minimum of three recreational activities out of his room each week. He demonstrates a skill in interacting with others and demonstrates a positive sense of humor as well. His current care plan did not take into consideration the interests and preferences identified on his initial activity assessment (or as related by his spouse), nor did it take into consideration his level of cognitive impairment. (See also citation at F279.) Review of the resident's activity participation records for December 2010 and January 2011, this resident participated in one (1) mental activity each in December and January; one (1) social activity in December and three (3) social activities in January; one (1) music activity in January; and one (1) visitor activity in December and three (3) visitor activities in January. -- f) Resident #49 During an interview in his room on 01/25/11 at 10:45 a.m., Resident #49 said he liked to watch television but can only see 2 or 3 feet away, and his television was mounted on the wall above the sink - too far away for him to see anything. He also reported having DVDs, but he could not see to watch them. He said he would also like to play bingo if they had cards large enough for him to see. When asked, he stated he had resided in the facility for four (4) months. Review of his MDS, with an ARD of 09/23/10, found in Section N that Resident #49's activity preferences included watching television and sports and playing cards or games. The assessor also encoded the MDS to reflect he was highly impaired visually. Review of his current care plan revealed the identification of depression and anxiety [DIAGNOSES REDACTED]. Another intervention identified in his care plan was that he enjoyed sports, especially West Virginia University and Ohio State University football. Further review of the care plan revealed the identification of his need for continued stimulation and socialization in order to maintain his cognitive and social skills. There was no mention in his care plan of the need to implement interventions to accommodate his near [MEDICAL CONDITION] while providing individualized activity preferences, in the attempt to relieve depression and anxiety and to maintain his cognitive and social skills. (See also citation at F279.) During an interview with the activity director on 01/27/11 at 9:00 a.m., she acknowledged she was thinking about ordering some large-sized bingo cards that Resident #49 could see, and she said she had spoken with maintenance staff, who was unsure about how to change the cable to another area of the room to accommodate a television (besides leaving it on the wall by the sink). During an interview with the social worker (Employee #82) on 01/31/11 at 12:30 p.m., she said she had contacted a local organization that deals with the visually impaired to see what they could recommend for Resident #49, but she was waiting for them to come in to do an evaluation. Also, she spoke with the resident's son about two (2) weeks ago to see about getting him a portable DVD that he could see up close, and perhaps the son could tape some ball games for him to watch or bring in some sports DVDs. The social worker said she spoke with maintenance about getting a cable wired closer to him, as Resident #49 could not see the television unless he was directly underneath of it, and they were in process of seeing what could be done. She said they were concerned about safety and wanted any cable cords to not present a fall risk, and they were not quite certain how they were going to run cable around the ceiling / wall area and bring it down by the resident's chair. She said this was a work in progress. During an interview with the director of nursing on 02/01/10 at 4:30 p.m., no further information was obtained related to addressing the activity preference needs for this visually impaired resident. | 2015-11-01 |