cms_GA: 6971
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6971 | SGMC LAKELAND VILLA | 115707 | 138 WEST THIGPEN AVE | LAKELAND | GA | 31635 | 2013-02-14 | 225 | D | 0 | 1 | YKS711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, record review and review of facility policy and procedure, it was determined the facility failed to ensure that an allegation of neglect was immediately reported to the administrator and to the State survey and certification agency, and was thoroughly investigated for one resident (D) in a total sample of 29 residents. Findings include: The facility failed to ensure that resident D's allegation of a CNA refusing to provide requested care was reported immediately to the administrator of the facility and to state survey and certification agency. Although a licensed nurse was aware of the resident's allegation, there was no evidence that the facility had investigated the allegation and reported the results of the investigations to the administrator or his designated representative and to the state survey agency within 5 working days of the incident. However, the facility failed to identify an allegation of neglect made by resident D about CNAKK and immediately report it to the state survey and certification agency, and to thoroughly investigate to determine the validity of that allegation and to implement any corrective actions if needed. Resident D was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. During an interview on 2/11/13 at 1:11 p.m., resident D said that, 2 to 3 weeks ago when he/she was sitting in the hallway outside the bathroom door, Certified Nursing Assistant (CNA) KK walked by and he/she asked that CNA to help him/her onto the toilet. The resident said that CNA KK replied no but, licensed practical nurse (LPN) JJ walked by and offered to help him/her. The resident stated CNA KK told LPN JJ that she would not help resident D. The resident described the incident as having made him/her feel pretty rough, like nobody cared. The resident said that he/she was able to stand but it took one person to help get him/her from the wheelchair to the toilet. Resident D said that nurse JJ told him/her that she was going to report the incident. During an interview on 2/13/13 at 2:45 p.m., the Director of Nurses (DON) said that the Activity Director had told her about that incident involving resident D and CNA KK after it was discussed at the February Resident Council meeting. Resident D had brought the incident up at that meeting. The DON said that she talked to the resident the day of the February meeting and also to a CNA with the same first name to determine if she was the CNA who had been involved in the incident. The DON stated that she had told the administrator about the incident. However since neither of them had felt that it was not valid, the DON said that she did not write it up as a grievance. She said that she was unaware that the week-end charge nurse (LPN JJ) had been involved. The DON said that, normally if she felt that a reported incident was valid or if she was not sure if it was valid then, she filed a grievance form. She said that she always followed-up with any staff member and resident who were involved. In an interview on 2/13/13 at 2:55 p.m., the Administrator said that anyone who came to him could file a grievance unless they felt that the issue had been immediately resolved. If not, then there should be a written grievance. He reiterated the DON's statement that they did not believe the resident's allegation was valid. During an interview on 2/13/13 at 3:34 p.m., the Activities Director stated that after having discussed residents' rights at the end of the Resident Council meeting held on 2/5/13, she had asked the residents if their rights had been violated. The Activities Director confirmed that resident D had reported his incident with a CNA having refused to take him/her to the bathroom. She said that when she had talked to the resident one-to-one at the end of the meeting, the resident called the CNA by name. The Activities Director said that she had reported the incident to the DON. Review of the 2/5/13 Resident Council meeting attendance sheet revealed that resident D had attended that meeting. There was a 2/5/13 memo signed by 18 CNAs and/or LPNs that listed specific complaints from residents. One of the listed complaints had documentation for staff not to tell a resident no if they asked to be taken to the bathroom. After surveyor inquiry, the DON provided a Grievance Investigation form dated 2/14/13 however, there was no evidence that the resident's allegation that a CNA had refused to provide requested assistance had been promptly reported to the state survey agency or thoroughly investigated. | 2017-09-01 |