| 83 |
HATLEY HEALTH CARE INC |
15023 |
300 MEDICAL CENTER DRIVE |
CLANTON |
AL |
35045 |
2018-05-10 |
584 |
D |
0 |
1 |
YKK111 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview and review of a facility policy titled, Resident Rights Policy, the facility failed to ensure RL (Room Locator) 1-4 were free of scrapes, gashes, cracks, and missing paint on the walls. The facility further failed to ensure Resident Identifier (RI) #'s 15, 31 and 93's rooms did not have deep scrapes, dents, and missing paint on the walls, and RI #31's arm rests on his/her wheel chair were not torn. This affected three of 111 rooms in the facility, and affected one of 10 wheelchairs observed during the survey. Findings Include: (1) A review of a facility policy titled, Resident Rights Policy, with a revised date of 12/19/16, revealed the following: . Safe environment. The resident has a right to a . comfortable and Homelike environment . On 05/08/18 at 4:57 p.m., the surveyor observed in RL #1, on the A and B side of the room, walls with deep punctures in the sheetrock, and a brown stain in the ceiling on the B side of the room. On 05/08/18 at 5:12 p.m., the surveyor observed in RL #2, on the A and B side of the room, walls with gashes and holes in sheetrock. On 05/08/18 at 5:30 p.m., the surveyor observed in RL #3, the ceiling had cracked plaster and brown stain on the left side. On 05/09/18 at 8:36 a.m., the surveyor observed in RL #4, chipped paint on the walls on both the A and B sides of the room. Behind the head board on the A side of the room there was a hole in the wall. In the bath room, in the middle of the wall, was chipped paint and there was a hole in the wall in the corner behind the dresser on the B side of the room. On 05/10/18 at 5:45 p.m., the surveyor toured rooms in the facility with Employee Identifier (EI) #19, the Maintenance Director and observed the same issues previously documented. On 05/10/18 at 6:10 p.m., the surveyor conducted an interview with EI #19. EI #19 was asked when touring with the surveyor, did he observe in RL #'s 1-4 scrapes, holes, gashes, cracks and missing paint on the walls. EI #19 replied, yes ma'am. EI #19 was asked why were there holes, gashes, cracks, scrapes and missing paint on the walls. EI #19 replied, from the beds hitting the walls and bedside tables hitting the wall. EI #19 was asked when was a walk through conduced last. EI #19 replied, he walked through every day. EI #19 stated he had also done a walk through of residents' rooms in (MONTH) of (YEAR). EI #19 further stated maintenance goes in the rooms quarterly. EI #19 was asked when looking at the holes, scrapes, gashes and missing paint on the walls, was that a homelike experience for the residents. EI #19 replied no ma'am. EI #19 was asked who was responsible for repairing holes, scrapes, gashes and missing paint on the residents walls. EI #19 replied, the Maintenance Director. EI #19 was asked how did he think it made the residents feel with holes, scrapes, gashes, and missing paint on the walls. EI #19 replied, not very happy. (2) RI #15 was admitted to the facility on [DATE], and readmitted on [DATE]. On 05/09/18 at 8:53 a.m., the surveyor observed a wall in RI #15's room with pieces of missing paint on the lower wall. EI #15 said it had been that way for a while. On 05/10/18 at 8:02 a.m., the surveyor observed the wall to remain the same. RI #93 was admitted to the facility on [DATE]. On 05/08/18 at 5:30 p.m., the surveyor observed missing pieces of paint and sheetrock on the wall on the left side of RI #93's bed. On 05/09/18 at 8:14 a.m., the wall in RI #93's room remained the same. On 05/10/18 at 7:54 a.m., the surveyor observed the wall to remain in the same condition. RI #31 was admitted to the facility on [DATE]. A Quarterly Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 02/05/18, revealed RI #31 used a wheelchair. On 05/09/18 at 9:47 a.m., the surveyor observed missing paint on the wall near the left side of RI #31's bed. On 05/09/18 at 11:40 a.m., the surveyor observed the left and right arm rest on RI #31's wheelchair to be torn. On 05/10/18 at 8:06 a.m., the wall in RI #31's room remained in the same condition. On 05/10/18 at 8:16 a.m., the surveyor observed the arm rests on RI #31's wheelchair remained the same. On 05/10/18 at 5:45 p.m., the surveyor conducted an interview with EI #19. EI #19 was asked who was responsible for repairing the residents wheelchair. EI #19 replied, EI #20, the Maintenance worker. EI #19 was asked why was RI #31's wheel chair arm rest not repaired. EI #19 replied he wrote it up to be repaired that morning, referring to a work order. EI #19 was asked had it been repaired yet. EI #19 replied, no ma'am. EI #19 was asked what kind of harm could a cracked wheel chair arm rest cause the resident. EI #19 replied, skin tear and bacteria. EI #19 was asked why was it important to keep residents wheel chair arm rests repaired. EI #19 replied, so the resident would not get injured or an infection. EI #19 was asked to describe RI #31's wheelchair armrest. EI #19 replied, it looked like the top layer had come off, it looked used, and the vinyl had separated from the mesh. EI #19 was asked how did he think the resident felt having damaged arm rest on his/her wheelchair. EI #19 replied, he/she may have felt it was dangerous or it was not perfect. |
2020-09-01 |