cms_GA: 97
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 97 | CENTER FOR ADVANCED REHAB AT PARKSIDE, THE | 115040 | 110 PARK CITY ROAD | ROSSVILLE | GA | 30741 | 2018-08-23 | 583 | D | 1 | 1 | 07R411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review and staff interview, the facility failed to provide privacy of one resident's (R) body (R#25) during incontinence care and a shower. The sample size was 34 residents. Findings include: Review of R#25's clinical record revealed that she had [DIAGNOSES REDACTED]. Review of R#25's Modification of Annual Minimum Data Set ((MDS) dated [DATE] revealed that she had a Brief Interview for Mental Status (BIMS) score of 9 (a BIMS score of 8 to 12 indicates moderate cognitive impairment); was extensive assistance for personal hygiene and toilet use; and needed physical help in part of bathing activity. On 8/20/18 at 4:13 p.m., Certified Nursing Assistant (CNA) BB was observed performing incontinence care for R#25 with her permission. CNA BB was observed to remove the resident's pants and incontinent brief, had the resident wipe herself with a washcloth, and then the CNA further cleaned the resident's perineal area and buttocks, before placing a clean brief back on her. Further observation revealed that R#25 was in a semi-private room in a bed closest to the window, and the bottom of the window blinds were raised approximately eight inches. Continued observation revealed that her room looked out to the front of the facility, and there was a car parked parallel to the building outside of her window. Further observation revealed that the door to the hallway had never been closed, and the privacy curtain between the two beds in the room had been not been pulled the entire length from wall to wall, leaving an opening of approximately 24 inches. On 8/22/18 at 7:25 a.m., R#25 was observed receiving a shower with her permission in the common shower room on the Mauve Hall by CNAs CC and DD. Continued observation revealed that R#25 pulled up on the grab bar just inside the shower room door, so that the CNA could remove her incontinent brief and pants, and then she sat back down on the shower chair (her shirt was still on). During further observation, another CNA was heard to knock on the shower room door, and CNAs CC and DD responded patient care. Continued observation revealed that this third CNA opened the hallway door into the shower room, and left it open with her head and upper body leaning inside the shower room with R#25 directly ahead, for approximately 15 seconds while she talked to CNAs CC and DD. Continued observation revealed that there was a privacy curtain available between the hallway door and the grab bar where R#25 was seated, but it had not been pulled. During interview with the Director of Nursing (DON) and Assistant Director of Nursing (ADON) on 8/23/18 at 10:34 a.m., they stated that the blinds to a room should be completely lowered when incontinence care was being provided. The ADON stated during further interview that as long as the resident was covered enough from being seen that the privacy curtain did not necessarily have to be pulled the entire way, but that the hallway door should be closed during perineal care. Review of the facility's Perineal Care policy revised (MONTH) (YEAR) revealed to avoid unnecessary exposure of the resident's body. | 2020-09-01 |