| 86 |
PROVIDENCE TRANSITIONAL CARE CENTER |
25018 |
910 COMPASSION CIRCLE |
ANCHORAGE |
AK |
99504 |
2017-06-22 |
242 |
E |
0 |
1 |
NLCD11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation and interview the facility failed to ensure 1 resident (#1) was allowed to go to bed as he/she wished and failed to ensure 9 residents (#s 1; 2; 6; 12; 13; 14; 15; 16; and 17), out of 39 residents residing in the facility, were able to dine in a timely manner after the meal trays had arrived. This failed practice denied the residents the right to exercise their right to make choices about their schedule and accommodate their needs and placed residents at risk for poor feelings of self-worth and psychological harm. Findings: Resident Choice Record review on 6/20-22/17 revealed Resident #1 was admitted to the facility for rehabilitation. The Resident's [DIAGNOSES REDACTED]. The Resident needed extensive assistance for transfers with 2 staff and used a wheelchair for mobility. During an observation on 6/20/17 at 11:45 am, Resident #1 was brought back to the unit dining room after completing occupational and physical therapy for the past 2 1/2 hours. During the observation Resident #1 told Certified Nursing Assistant (CNA) #4 he/she was tired and wanted to lay down in bed for a little bit. The CNA replied to the Resident, If you lay down you'll have to get right back up. You only have 45 minutes until lunch. Why don't you wait until after lunch? CNA #4 spent several minutes explaining to the Resident why he/she could not take a nap just yet. The CNA then offered Resident #1 a glass of water. The Resident continued to sit at the dining room table until lunch was served at 1:00 pm, over an hour after he/she had requested to lie down. Review on 6/22/17 of the facility's Reisdents handbook provided to the residents at amittance revealed, .As a Resident, you have the Right: .To receive services that meet your individual needs and preferences . Delay in Meal Service South Side During an observation in the south dining room on 6/19/17 at 12:15 pm Resident #s 1; 6; 12; and 13 were observed sitting in the dining room waiting for the noon meal. During the observation Resident #6 repeatedly stated how hungry he/she was. CNA #5 served the Resident a cup of coffee. After both meal carts arrived on the units at 1:05 pm, the staff took both carts down the hallways to pass the room trays. The Residents in the dining room continued to sit and wait until the carts were returned and were served lunch at 1:15 pm, 10 minutes after they had arrived. Observation in the south dining room on 6/20/17 at 12:50 pm revealed 1 cart containing lunch trays was sitting in the hallway when the 2nd lunch cart arrived. Resident #s 1, 6, and 13 were seated at the dining room table waiting for lunch. Staff pushed the cart past the Resident's seated in the dining room, and down the hallways to pass the room trays. There was no staff located in the dining room to assist the 3 residents. Observation on 6/20/17 at 1:00 pm revealed the carts were returned to the dining room area; CNA #2 returned to the dining room, served the meal and assisted Residents with their meals. Review of the CNA assignment sheet, dated 6/20/17 revealed CNA #2 had Assignment 4 and 1230 (pm) Assist in Dining room, clean dining room. During an interview on 6/21/17 at 12:28 pm, the Coordinator of Food Services stated the room trays needed to be served in the rooms first because some residents in the dining room needed to be observed and watched during their meal. During an interview on 6/21/17 at 1:11 pm, CNA #5 stated the rooms were first and the dining room second because there needed to be staff in the dining room. Observation in the south dining room on 6/21/17 at 1:05 pm revealed 1 cart containing the lunch trays was sitting in the hallway when the 2nd cart was brought down. Resident #s 1, 14, and 15 were seated in the dining room. At 1:10 pm Resident #14 stated been here about 3 weeks waiting for trays. Resident #14 was then served his/her lunch. Both carts were taken down the hallway while Resident #s 1 and 15 waited at the table in the dining room. After 10 minutes, at 1:15 pm, CNA #3 retrieved a small cart and went down the hallway to pull the trays from the cart. After returning to the dining room with 2 lunch trays, the CNA served Resident #s 1 and 15 their lunch trays at 1:20 pm, 15 minutes after the trays had arrived. North Side Observation in the north side dining room on 6/19/17 at 12:30 pm revealed Resident #s 2, 16, and 17 sitting in the dining room waiting for lunch. After both carts arrived, staff took them down the hall and served the room trays. The staff then returned to the dining room and served the Residents waiting in the dining room, 10 minutes after the trays had arrived. Observation in the north side dining room on 6/20/17 at 12:30 pm, revealed Resident #s 2, 16, and 17 were seated in the dining room waiting for the noon meal. After the carts arrived, staff took both carts down the hall and served the room trays. The Residents in the dining room had to wait 10 minutes until their lunched were served. During a group interview with residents on 6/21/17 at 11:00 am, several Residents stated it felt discourteous for the staff to pass them by with the food trays and to deliver the room trays first, when they were sitting in the dining room waiting for their meal. During an interview on 6/22/17 at 12:45 pm, when asked about the residents having to wait for the meals, the Dietitian replied it was an ongoing project. The Dietitian stated he/she was told a CNA needed to be in the dining room before service. Review on 6/22/17 of the facility's Reisdents handbook provided to the residents at amittance revealed, .Dining Services .Meals are scheduled .at the following times: Breakfast 8:15 a.m. Dining room or in-room Lunch 12:30 p.m. Dining room or in-room Dinner 5:00 p.m. Dining room or in-room |
2020-09-01 |