cms_GA: 8069
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| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8069 | WYNFIELD PARK HEALTH AND REHABILITATION | 115625 | 223 W.THIRD AVENUE | ALBANY | GA | 31701 | 2012-03-29 | 246 | D | 0 | 1 | LF6S11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview, it was determined that the facility failed to continue to provide adaptations for one resident's (#113) wheelchair to maintain proper body symmetry and to accommodate the wheelchair positioning needs for two residents (#19 and #45) in a total sample of 36 residents. Findings include: 1. Skilled therapy staff noted on the 10/10/11 physical therapy discharge report at that time, the resident #113 was using a wheelchair with bilateral lateral supports and a pommel cushion to encourage pelvic alignment. However, on 3/28/12 at 8:15 a.m., 10:00 a.m. and at 11:10 a.m., the resident was observed sitting in the wheelchair without bilateral lateral supports. The resident's body was observed to be twisted to the right side of his/her wheelchair. During those observations, the resident's wheelchair did not have footrests and his/her feet were dangling approximately two inches above the floor. In an interview on 3/29/12 at 12:15 p.m., the physical therapist stated that the use of bilateral lateral supports had not been discontinued from therapy. She stated that, from a therapy standpoint, the resident needed the lateral supports for positioning in the wheelchair. 2. Resident #19 had [DIAGNOSES REDACTED]. Licensed nursing staff completed a quarterly MDS assessment on 2/22/12. They coded the resident as needing total assistance with transfer, locomotion on/off unit, dressing, eating, toileting, bathing and hygiene. Resident #19 was observed sitting in a wheelchair without any foot rest supports on 3/26/12 during initial tour between 11:50 a.m. and 12:13 p.m. and at 2:30 p.m., on 3/27/12 at 7:30 a.m., 10:00 a.m., 11:30 a.m., 2:00 p.m., 3:35 p.m., on 3/28/12 at 7:30 a.m., 10:45 a.m., and 1:25 p.m. and on 3/29/12 at 7:50 a.m., 9:34 a.m., 10:45 a.m. and 12:20 p.m. During all of the observations, both of the resident's feet were dangling and not touching the floor. The resident did not make any attempt to propel himself/herself in the wheelchair during any of those observations. During an interview on 3/29/12 at 12 p.m., the occupational and physical therapy aides confirmed that the resident's wheelchair should have had leg/foot rests on it. They stated that not having had foot rests on the resident's wheelchair had been a concern in the past. 3. Resident #45 had [DIAGNOSES REDACTED]. He/She had restorative orders on the March 2012 physician's orders [REDACTED]. Resident #45 was observed on 3/29/12 at 12 p.m. to have been reclined in a geri-chair asleep. The resident's head was hanging off of the lateral support. The lateral support was not long enough to support his/her head. The resident was still asleep in the reclined geri-chair at 12:40 p.m. His/Her neck was hyperextended to the left and hanging over the lateral support that was on the inside of the chair. During an interview at that time, licensed charge nurse XX stated that the resident's position did not not look comfortable. Nurse XX said that resident should have been laid down in bed when he/she fell asleep in that position. Nurse XX stated that she had requested a therapy screen for positioning which was why the resident had the lateral supports but, nothing had been put in place for positioning his/her head and neck. | 2016-07-01 |