cms_GA: 8074
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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8074 | WYNFIELD PARK HEALTH AND REHABILITATION | 115625 | 223 W.THIRD AVENUE | ALBANY | GA | 31701 | 2012-03-29 | 282 | E | 0 | 1 | LF6S11 | Based on observation, record review and staff interview, it was determined that the facility had failed to ensure that care plan interventions were implemented to address the personal care needs of three (#11, W and #113) residents' with dirty fingernails and one resident (W) with a heavy beard, the provision of range of motion exercises, splints, foot positioning devices and/or braces as planned for five residents ( R, W, #19, #128, and #45), and to prevent falls for one resident (#188) from a total sample of 36 residents. Findings include: 1. Resident #11 had a care plan intervention since 3/22/10 for total care including nail care by nursing staff. However, the resident was observed the have had a thick black substance underneath his/her fingernails on 3/27/12 at 8:15 a.m. and 5:00 p.m., 3/28/12 at 7:55 a.m. and 11:20 a.m. See F312 for additional information regarding resident #11. 2. Resident #113 had a 5/21/11 care plan intervention for staff to provide assistance with activities of daily living. However, the resident had a thick black substance underneath his/her fingernails on 3/28/12 at 8:15 a.m. and 2:00 p.m. and on 3/29/12 at 8:15 a.m. See F312 for additional information regarding resident #113. 3. Resident #128 had a care plan since 10/29/11 to address his/her frequent pain at multiple sites due to arthralgia. There was an intervention for active range of motion exercises to be provided by the restorative nursing staff six (6) days per week to prevent joint contracture. However, the staff had not provided active range of motion exercises to the resident. See F318 for additional information regarding resident #128. 4. Resident R had a care plan since 5/25/11 to address his/her Impaired mobility related to cognitive impairment and dementia. There was an intervention for nursing staff to perform passive range of motion exercises to affected joints as indicated and document, and to assist with positioning and transfers as necessary. There were current restorative orders for the resident to be out of bed in a geri-chair for positioning purposes and safety, and to position him/her in the geri-chair daily with a bilateral step down cushion and foot box. However, during observations on 3/27/12 at 2:35 p.m. and 4:20 p.m., the resident was seated in a geri-chair but, there was not a foot box on it. See F318 for additional information regarding resident R. 5. Resident W had a care plan since 2/16/12 to address his/her need for extensive staff assistance with activities of daily living (ADLs). There were interventions for direct care (nursing ) staff to provide assistance with ADLs, and encourage him/her to assist with ADLs as able. However, it was observed on 3/26/12 at 3:30 p.m., on 3/27/12 at 4:50 p.m. and on 3/29/12 at 8:55 a.m. and 10:30 a.m. that the resident had long dirty nails. In addition, on 3/27/12 at 4:00 p.m., and on 3/28/12 at 8:50 a.m., 1:00 p.m. and 4:50 p.m., the resident was observed to have a heavy growth of facial hair. See F312 for additional information regarding W. Resident W also had a care plan intervention for restorative nursing as indicated. On the 3/10/12 Functional Program form, the occupational therapist had documented that nursing staff were supposed to place a left shoulder brace properly on the resident daily and a left resting hand splint on the resident every day to prevent contractures. However, it was observed on 3/27/12 at 4:00 p.m., on 3/28/12 at 8:50 a.m., 1:00 p.m., 2:15 p.m. and 4:50 p.m. and on 3/29/12 on 8:55 a.m., 10:30 a.m. and 11:30 a.m. that nursing staff had not applied the left resting hand splint. It was observed that they had not applied the left shoulder brace on 3/28/12 and 3/29/12. See F318 for additional information regarding W. 6. Resident #19 had a care plan since 11/30/11 to address his/her need for total care with all ADLs. There was an intervention for nursing staff to apply bilateral hand, elbow splints and ankle splints daily as tolerated. However, it was observed on 3/26/12 between 11:50 a.m. and 12:13 p.m. and 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. and 3:35 p.m., on 3/28/12 at 7:30 a.m. and on 3/29/12 at 7:50 a.m., 9:34 a.m., 10:45 a.m. and 12:20 p.m., that staff had not put any splints on the resident. See F318 for additional information regarding #19. 7. Resident #45 had a care plan intervention since 5/25/11 for staff to assist with positioning as necessary. The current restorative orders printed on the March 2012 orders documented to position the resident in the geri-chair with bilateral support step down cushion and foot box daily. However the resident was observed in the geri-chair without the foot box on 3/27/12 at 2:35 p.m. and 4:20 p.m. The resident was observed to be poorly positioned in the geri-chair on 3/29/12 at 12 p.m. and 12:40 p.m. See F246 for additional information regarding resident #45. 8. According to a hand written note on resident #188's initial initial care plan (dated 3/5/12), he/she was at risk for falls. There were interventions for the use of a bed alarm and a chair alarm for the resident. However, during observations on 3/28/12 at 11:55 a.m. and at 2:55 p.m., the resident was seated in a room chair but, staff had not applied the chair alarm. See F323 for additional information regarding resident #188. | 2016-07-01 |