cms_DC: 70
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 70 | SERENITY REHABILITATION AND HEALTH CENTER LLC | 95015 | 1380 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 2018-07-20 | 688 | D | 0 | 1 | L7I811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review and staff interviews for two of (2) of 56 sampled residents, facility staff failed to apply hand splints to prevent contractures for residents with an identified limited range of motion and to provide a shoulder sling for the residents. Residents' #68 and #478. Findings included . 1. Resident# 68 was admitted to the facility with [DIAGNOSES REDACTED]. During an observation on 7/10/18 at 10:00 AM showed Resident #68 lying on her bed holding her left arm close to her torso. A subsequent observation on 7/10/18, at 4:20 PM showed Resident #68 in resident's room listening to music with left arm close to her body. During a Resident interview on 7/11/18 at 10:00 AM the Resident stated that a sling used to support the left arm. However, staff is not applying the sling. The splint was observed in a plastic bag pinned in the wall in the resident's room. Review of the medical record on 7/11/18, at 11:30 AM showed a physician's orders [REDACTED]. A further review of the medical record on 7/11/18 at 11:30 AM showed an Occupational Therapy phone order dated 4/19/18, Left Upper Extremity hand and wrist splint provided for positioning, Treatment 3-5x\week x 83 days as tolerated. A further review of the medical record on 7/11/18 at 11:30 AM showed a Rehabilitation Daily Note dated 6/21/18 patient seen and examined by the bedside, she states that no one has stretched her LUE (left upper extremity) in three weeks or put her brace on. The medical record lacked documented evidence the left hand, and wrist splint and left arm sling were applied as ordered. During a face-to-face interview with Employee #4 on 7/11/18, at 3:30 PM, the employee stated the restorative aide was on vacation and is normally responsible for applying the resident ' s splint. During an interview with Employee #16 on 7/12/18 at 11:37 AM, the employee stated that if the resident refuses or complains of hand pain, the splint is not applied. However, when asked for documentation of the refusal, Employee #16 stated it was not available. 2. Resident # 478 was admitted to the facility with [DIAGNOSES REDACTED]. An observation on 7/10/18, at 1:00 PM showed Resident #478 sitting in Geri-chair with left-hand fingers tightly held in place. A subsequent observation on 7/12/18, at 11:30 AM showed Resident #478 sitting in Geri-chair with left-hand slight bent and fingers tightly fixed. During a Resident interview on 7/12/18, at 1:00 PM the Resident was asked what are staff doing to help with your limited motion? The resident responded, I have a splint it ' s in the back of my wheelchair look back there you will see it, (observed splint device in the back of the resident ' s wheelchair). Review of the medical record on 7/12/18, at 3:00 PM showed a physician's order [REDACTED]. During an interview with Employee #4 on 7/12/18, the Employee stated: our Restorative Aide is on vacation she would normally make sure the splints are applied daily. Employee# 4 could not provide further insight into the failure of the hand splint to be applied as per the physician's orders [REDACTED].>During a face-to-face interview with Employee #4 on 7/12/18, at 4:00 PM, present at the time of the observation and record review acknowledged the finding. | 2020-09-01 |