| 67 |
HAVEN OF SCOTTSDALE |
35059 |
3293 NORTH DRINKWATER BOULEVARD |
SCOTTSDALE |
AZ |
85251 |
2016-09-22 |
241 |
D |
0 |
1 |
BZVV11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interviews and policy review, the facility failed to promote care for residents in a manner that maintains each residents dignity, by having one resident (#151) who was in their bed and their brief and lower extremities were exposed and were visible to others in the hallway. Findings include: Resident #151 was admitted on (MONTH) 9, (YEAR), with [DIAGNOSES REDACTED]. Review of the Minimum Data Set (MDS) admission assessment dated (MONTH) 15, (YEAR) revealed a Brief Interview for Mental Status (BIMS) score of 11, which indicated that the resident had moderate cognitive impairment. A review of the admission nursing evaluation revealed the resident had bilateral weakness to the lower extremities. During an observation conducted on (MONTH) 19, (YEAR) at 6:30 a.m., resident #151 was observed inside the room sleeping. The resident was lying on his bed, with his lower legs and brief exposed. The privacy curtains were not pulled and the resident's door was wide open. The resident was visible from the hallway. Another observation was conducted on (MONTH) 19, (YEAR) at 7:35 a.m. The resident was in bed with his lower legs and brief exposed. The door was open and the resident was visible from the hallway. A later observation was conducted at 10:06 a.m. of the resident lying in bed asleep, with the door open. The resident was uncovered and his belly, lower legs and brief were exposed and he was visible from the hallway. This resident's room was directly across from the activity room. During this observation, there was an activity taking place in the activity room. Multiple staff, residents and visitors were observed passing by the resident's room. At 10:11 a.m., a certified nursing assistant (CNA/staff #7) entered the resident's room, but then quickly exited. The resident remained uncovered and his belly, lower legs and brief were still exposed. At 10:21 a.m., staff #7 looked inside the resident's room, but did not notice that the resident was still exposed. At 11:04 a.m., staff #7 entered the resident's room and placed a blanket over the resident covering his belly, legs and brief. In an interview with a CNA (staff #27) conducted on (MONTH) 20, (YEAR) at 2:49 p.m., she stated that she checks residents frequently and when she sees a resident with exposed body parts or brief, she will immediately enter the room and cover the resident. An interview with a licensed practical nurse (LPN/staff #60) was conducted on (MONTH) 21, (YEAR) at 11:04 a.m. She stated that when she sees a resident who is exposed, she will enter the room and cover the exposed area. In an interview with the Director of Nursing (DON/staff #6) conducted on (MONTH) 21, (YEAR) at 4:31 p.m., she stated that when a resident's body parts and undergarments are exposed, she expects staff to cover the resident immediately. A facility policy on Quality of Life-Dignity included that Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. It also included that staff shall promote, maintain, and protect resident privacy, including bodily privacy. |
2020-09-01 |