| 64 |
SERENITY REHABILITATION AND HEALTH CENTER LLC |
95015 |
1380 SOUTHERN AVE SE |
WASHINGTON |
DC |
20032 |
2018-07-20 |
656 |
D |
0 |
1 |
L7I811 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews for three (3) of 56 sampled Residents, facility staff failed to develop a care plan that included goals and approaches for assessment of one (1) Resident AV(arteriovascular) graft/fistula access site, one (1) Resident for [DIAGNOSES REDACTED]. Resident #6, #38, and #138 Findings included . 1. Facility staff failed to develop a care plan that included goals and approaches for one (1) Resident AV graft/fistula access site. Resident #6 Resident #6 admission was on (MONTH) 10, (YEAR), with [DIAGNOSES REDACTED]. Diabetes Mellitus 2, Hypertension, Heart Failure, [MEDICAL CONDITION], and Cataract. A review of the quarterly MDS with ARD date (MONTH) 6, (YEAR), section I Active [DIAGNOSES REDACTED]. On (MONTH) 18, (YEAR), 11:50 AM a review of the following Nurses Progress Note showed that the Resident#6 AV graft/fistula access site for [MEDICAL TREATMENT] treatment located in her left arm clogged twice. April 11, (YEAR), 23:39 PM (Resident name) returned to the facility this afternoon at about 4 PM without being dialyzed (dialyzed), AV (Arteriovascular) graft was blocked. May 4, (YEAR), 18:08 PM Resident came back and was not dialyzed secondary to clogged AV graft. Resident scheduled for declogging on (MONTH) 5, (YEAR), at 9 am. A review of care plan showed no evidence that staff developed a care plan with goals and approaches that included the Resident's access site blockages, and pre and post [MEDICAL TREATMENT] assessment for her AV graft/fistula. The Resident's care plan lacked evidence that staff developed a care plan that included the access site blockages and assessment of the AV graft/Fistula pre and post [MEDICAL TREATMENT] treatment. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings 2. Facility staff failed to develop a care plan with goals and approaches for one (1) Resident for [MEDICAL CONDITION]. Resident #38 Resident# 38 admitted on (MONTH) 24, 2005, with [DIAGNOSES REDACTED]. A review of the Annual MDS with ARD date (MONTH) 2, (YEAR), section I Active [DIAGNOSES REDACTED]. A review of physicians order dated (MONTH) 29, (YEAR), 10:00 AM showed Psych to evaluate and treat as needed for [MEDICAL CONDITION], Impulsive disorder. A review of care plan showed no evidence that staff developed a care plan with goals and approaches to address the Resident's [MEDICAL CONDITION]. The Resident's care plan lacked evidence that staff develops a care plan with goals and approaches to address [DIAGNOSES REDACTED]. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings. 3[NAME] Facility staff failed to develop a care plan with goals and approaches for one (1) Resident [DIAGNOSES REDACTED].#138 Resident# 138 admitted on (MONTH) 6, (YEAR), with [DIAGNOSES REDACTED]. A review of the Quarterly MDS with ARD date (MONTH) 19, (YEAR), section I Active [DIAGNOSES REDACTED]. A review of the Physician orders [REDACTED]. A review of care plan showed no evidence that staff developed a care plan with goals and approaches that included the Resident's [DIAGNOSES REDACTED]. The Resident's care plan lacked evidence that staff develops a care plan with goals and approaches to address [DIAGNOSES REDACTED]. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings 3B. Facility staff failed to develop a care plan with goals and approaches for one (1) Resident for a resident Rehab Services. Resident#138 Resident# 138 admitted on (MONTH) 6, (YEAR), with [DIAGNOSES REDACTED]. A review of the Quarterly MDS dated (MONTH) 19, (YEAR), showed Section O0400 Therapies B. Occupational therapy started (MONTH) 20, (YEAR), and therapy ended (MONTH) 7, (YEAR). A review of care plan showed no evidence that staff developed a care plan with goals and approaches to address Resident Rehab Services. The Resident's care plan lacked evidence that staff develops a care plan with goals and approaches to address [DIAGNOSES REDACTED]. A face-to-face interview conducted with Employee#19 on (MONTH) 19, (YEAR), she reviewed the care plan and acknowledged the findings. |
2020-09-01 |