cms_DC: 2521
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2521 | SPECIALTY HOSPITAL OF WASHINGTON - HADLEY SNF | 95024 | 4601 MARTIN LUTHER KING JR AVENUE SW | WASHINGTON | DC | 20032 | 2010-12-02 | 312 | D | GC5D11 | Based on observation, record review and staff interview for one (1) of 15 sampled residents, it was determined that facility staff failed to provide incontinent care to Resident #7 in a timely manner. The findings include: Facility staff failed to provide incontinent care to Resident #7 who was observed with urine soaked and mal odorous clothing. At approximately 9:30AM on December 1, 2010 Resident #7 was observed seated in a geri chair with a lap tray. The resident was observed between 9:30Am and 12:30PM. No employee assessed the resident between 9:30AM and 12:30PM. At approximately 12:45PM the assigned Certified Nursing Assistant (CNA) was asked to evaluate resident ' s incontinent status. He/she complied and the resident was taken to the Shower Room. Employee #20 (the assigned CNA) removed the resident's slacks and revealed a "soggy" urine soaked and mal-odorous incontinent pad and a pair of slacks with urine soaked crotch. The employee was queried when the resident was last toileted. The employee responded that he/she had left the facility to escort another resident on an appointment and only returned around 12:30PM. The employee added "Usually when we go out another CNA takes care of our residents." A review of the Treatment Administration Record (TAR) for December 1, 2010 revealed the following directive, " Bowel and Bladder Program, Toilet resident every two (2) hours while awake. " A review of the signature boxes for December 1, 2010 revealed a signature in the 8AM block which indicated that the treatment was carried out at that time. The signature boxes for 10:00AM and 12:00PM on December 1, 2010 were blank which indicated that the resident was not toileted at those times. A face-to-face interview was conducted with Employee #11 at approximately 1:30PM on December 1, 2010. Employee #11 stated when a CNA is sent out to transport a resident, that CNA's residents are usually reassigned to the remaining CNAs. Someone should have been assigned to cover but I am not sure if anyone was." Facility staff failed to provide incontinent care to Resident #7 who was observed with urine soaked and mal odorous clothing. | 2014-04-01 |