cms_DC: 98
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
98 | SERENITY REHABILITATION AND HEALTH CENTER LLC | 95015 | 1380 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 2018-10-23 | 636 | D | 1 | 0 | FXOI11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff interview and record review, it was determined that facility staff failed to accurately code the MDS for active diseases and bed mobility for one (1) of three (3) residents reviewed. Resident #1. The findings include: Resident #1 was admitted to the facility on (MONTH) 11, (YEAR). According to the Minimum Data Set (MDS) assessment with a target date of (MONTH) 19, (YEAR), Resident #1 scored 9/15 on the Brief Interview for Mental Status in Section C (Cognitive Patterns). According to the MDS 3.0 User's Manual page C-14 a score of 8-12 suggests the resident has moderately impaired cognitive skills for daily decision making. Resident #1 was assessed as requiring extensive assistance with two person assist for all Activities of Daily Living (ADLs) in Section G (Functional Status). Disease [DIAGNOSES REDACTED]. Resident #1 was hospitalized on (MONTH) 27, (YEAR) through (MONTH) 29, (YEAR) and (MONTH) 19, (YEAR) through (MONTH) 12, (YEAR). A total of nine (9) MDS assessments were completed for Resident #1. The MDS with a target date of (MONTH) 19, (YEAR) (return from hospitalization s) was the only MDS that lacked the active [DIAGNOSES REDACTED]. Additionally, eight (8) MDS assessments identified the resident as requiring an assist of two (2) persons with bed mobility (Item GO 110A). Only the MDS assessment completed (MONTH) 13, (YEAR), was marked as the resident requiring the assist on one (1) person for bed mobility. A face-to-face interview was conducted with Employee #1 on (MONTH) 23, (YEAR) at 1:30 PM. Employee #1, Rehabilitation Therapist, assessed the resident as unable to initiate any spontaneous movement. He/she demonstrated no spontaneous gross movements. His/her upper and lower extremities were contracted. He/she recommend two (2) staff to move the resident, either for bed mobility or transfers. Employee #2 acknowledged the inaccuracy of the MDS. | 2020-09-01 |