cms_GA: 6735
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6735 | HARBORVIEW HEALTH SYSTEMS JESUP | 115414 | 1090 W ORANGE ST | JESUP | GA | 31545 | 2017-08-17 | 280 | D | 0 | 1 | 73MR11 | Based on interviews and record reviews, the facility failed to include a key member of the interdisciplinary team during the care plan meetings for three of three residents reviewed out of a sample size of 23 residents. R# 31, 82 and 88 had numerous care plan meetings with documented signatures of the different disciplines in attendance. A certified nursing assistant (CNA) was not in attendance at any of the 13 meetings reviewed. Findings include: During an interview on 8/16/17 at 9:45 a.m, the RN/MDS Coordinator, BB was asked about the assessment and care planning process. While she responded that she talks with the staff including the CNAs when she is conducting a resident assessment to assist in gathering information she specifically said the CNAs do not attend the care plan meetings. When asked who attends the meeting and how they document the attendance she said the Social Services Director, the Dietary Services Director, the two Unit Manager RNs, herself and the resident and/or family member if they choose to come to the meeting. She stated they all sign a form that is kept in the chart, the Interdisciplinary Care Plan Team Sign In Sheet. Review of the Interdisciplinary Care Plan Team Sign In Sheet(s) for R#31 includes care plan meetings held on 6/21/16, 8/18/16, 11/28/16, 2/9/17 and 3/29/17 with the signatures of staff disiplines of Nursing (RN), Social Services, Activities, and Dietary in attendance at each of the five meetings. A rehab team member attended two of the meetings. The resident was in attendance at one of the meetings and a family member attended four of the five meetings. There are no signatures from a CNA for any of the dates. There is no evidence of a CNA who had responsiblity for the resident attending the care planning meetings. Review of the Interdisciplinary Care Plan Team Sign Sheet for R#82 includes care plan meetings held on 11/6/16, 2/6/17 and 5/10/17 with the signatures of staff disciplines of Nursing (RN), Social Services, Activities and Dietary in attendance at each of the three meetings. A phone conference is noted with a family member at each of the three meetings, also. There are no signatures from a CNA for any of the dates. There is no evidence of a CNA who had responsibility for the resident attending any of the care plan meetings. Review of the Interdisciplinary Care Plan Team Sign In Sheet(s) for R#88 includes care plan meetings held on 7/11/16, 9/12/16, 10/30/16, 1/30/17 and 4/30/17 with the signatures of staff disciplines of Nursing (RN), Social Services, Activities, and Dietary in attendance at each of the five meetings. A rehab team member attended one of the meetings. The resident was in attendance at one of the meetings and a family member attended three of the meetings and the remaining two by phone conference. There are no signatures from a CNA for any of the dates. There is no evidence of a CNA who had responsibility for the resident attending any of the care plan meetings. During an interview conducted on 08/17/2017 at 11:15 a.m. with CNA AA, a CNA she was asked how she knew what care each resident required; she responded that she asked the nurses and therapists for information about the residents care needs. She did not mention anything about the care plan. When asked if she knew anything about resident care plans, she indicated she did not. When asked if the CNAs attended the care plan meetings she responded no. Review of 13 pages of documents provided to the survey team leader via email after the surveyors exited the facility includes Harborview Health System Care Plan Minutes for five residents for the dates of 8/1/17, 8/10/17, 8/11/17 (two) and 8/14/17. These documents contain staff signatures including the disciplines of Activities, Social, Nursing, Therapy, Dietary and CNA. There are also spaces for signatures of resident and representative. Five of the five documents include a CNA signature; however, all five appear to be initial meetings with a resident or family member as they include a statement about welcoming the resident and that the resident or family are satisfied with the facility. The documents do not specify if these are new admission/comprehensive, annual/comprehensive or quarterly care plan meetings. These documents provided do not include anything prior to 8/1/17. | 2017-10-01 |