| 630 |
YUKON KUSKOKWIM ELDER'S HOME |
25037 |
1100 CHIEF EDDIE HOFFMAN HWY, PO BOX 528 |
BETHEL |
AK |
99559 |
2017-02-14 |
279 |
F |
0 |
1 |
9VF811 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to develop comprehensive care plans that addressed resident specific likes and dislikes for 6 (#s 1, 2, 3, 4, 5 and 7) of 6 care plans reviewed. Without appropriate care plan interventions and coordination, residents were at risk for not receiving the necessary and/or appropriate care and services to ensure optimal outcomes. Findings: Resident #1 Record review from 1/31/17 - 2/4/17 revealed Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the Residents most current care plan, dated 1/31/17, for Activities revealed Offer Activity of choices sometimes (Resident) enjoys sorting, items, provide activities accordingly . encourage active participation for physical, cognitive stimulation; social interaction needs; Enjoys outings. No Resident specific likes or dislikes had been care planned. Resident #2 Record review from 1/31/17 - 2/4/17 revealed Resident #2 was admitted to the facility with [DIAGNOSES REDACTED]. Review of Resident's care plan, dated 12/30/16, for Activities revealed Interventions .Confirm Resident's Identity; Assess (Resident's) Functional Level; Utilize Adaptive Material and Techniques to Meet Needs; Offer (Resident) Activity Choices; Encourage Active Participation for Physical, Cognitive Stim; Encourage Passive Participation Socialization, Religious Spiritual Needs . No Resident specific person-centered activities for the resident. Resident #3 Record review from 1/31 - 2/4/17 revealed Resident #3 was admitted with a [DIAGNOSES REDACTED]. Review of the Residents most current care plan, dated 8/12/16, printed by the MDS Coordinator on 2/2/17 at 9:11 am, revealed no activities had been care planned. Resident #4 Record review from 1/31 - 2/4/17 revealed Resident #4 was admitted with a [DIAGNOSES REDACTED]. In addition, the Resident had just returned from cataract surgery to both eyes on 1/13/17. Review of the Residents most current care plan, dated 1/13/17, revealed Offer activity of choices, encourage participation for physical, cognitive stimulation. No Resident specific activities, likes or dislikes, had been care planned. Resident #5 Record review from 1/31 - 2/4/17 revealed Resident #5 was admitted to the facility with [DIAGNOSES REDACTED]. Review of the Resident's care plan dated 1/31/17, revealed Activities .Offer Activity Choices .Encourage Active Participation for Physical, Cognitive Stim; Social Interaction Needs; Religious Spiritual Needs. Encourage Passive Participation in Cognitive Stimulation; Socialization; Religious Spiritual Needs. Offer 1:1 activities if unable or unwilling to participate in group activities . No Resident specific activities, likes or dislikes, had been care planned. Random observations from 2/2/17 from 8:10 am - 10:15 am revealed no staff attempted to engage Resident #5 in individual or group activities. Resident #7 Record review from 1/31 - 2/4/17 revealed Resident #7 was admitted to the facility with a [DIAGNOSES REDACTED]. Review of the Residents most current care plan, dated 12/13/16 revealed, Offer Activity Choices .Encourage Active Participation for Physical, Cognitive Stim; Social Interaction Needs; Religious Spiritual Needs. Encourage Passive Participation in Cognitive Stimulation; Socialization; Religious Spiritual Needs. No Resident specific activities, likes or dislikes, had been care planned. During an interview on 2/3/17 at 4:00 pm, the Activities Coordinator stated she had a log of each resident's likes and dislikes. In addition, she stated had been working on individualizing the activity care plans for resident but lacked the time to get the activity care plans completed and provide the daily activities. Record review of the Activity Coordinators job description on 2/3/17 at 10:30 am, dated 6/10/14 revealed, Position description .designs a creative and exciting life enrichment program to meet group and individual needs and interests of the residents .participates in the review of Resident Care Plans and documents life enrichment progress . |
2020-05-01 |