cms_ID: 22
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 22 | BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION | 135007 | 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 2019-03-01 | 623 | D | 0 | 1 | U2XH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff and family interview, facility policy review, and record review, it was determined the facility failed to ensure transfer notices were provided in writing to residents upon transfer. This was true for 2 of 2 residents (#12 and #25) reviewed for transfers. This deficient practice had the potential for harm if residents were not made aware of or able to exercise their rights related to transfers. Findings include: The facility's policy and procedure for Transfer and Discharge, dated 10/2018, directed staff to notify the resident/resident representative for facility initiated emergency transfers and/or discharges for medical reasons. 1. Resident #25 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. A nurse's note, dated 2/11/19, documented Resident #25 was transferred to the emergency room for evaluation and treatment. The note documented Resident #25's wife was called and notified of the transfer. Resident #25's record did not include documentation he or his representative received a written notification of the reason for transfer to the hospital. On 2/27/19 at 1:23 PM, Resident #25's wife stated the facility did not provide written notification of her husband's transfer to the hospital. She stated the facility did not contact her. She stated she found out Resident #25 was transferred to the hospital when she came to see him. On 2/27/19 at 2:35 PM, RN #3 stated the family is called when a resident is transferred to the hospital but was not familiar with any transfer/discharge papers from the facility. On 2/27/19 at 2:50 PM, the LSW stated Social Services did not provide written notice of transfer and discharge to residents. On 2/27/19 at 3:15 PM, the Patient Financial Counselor stated she did not provide residents with written notice of transfer or discharge. 2. Resident #12 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. a. A nurse's note, dated 1/7/19, documented Resident #12 was observed to be anxious at the nurses' station. He was hitting his head with both fists. Resident #12 stated he was going to try and kill himself. Resident #12 agreed to physician notification and inpatient psychiatric observation if needed. A physician's orders [REDACTED].#12 to an inpatient hospital psychiatric unit for [MEDICAL CONDITION]. On 1/7/19, Resident #12 was transferred to a hospital psychiatric unit for treatment. b. A nurse's note, dated 2/3/19, documented Resident #12 verbalized suicidal intent to staff. A physician's orders [REDACTED].#12 to a hospital psychiatric unit for suicidal ideation. On 2/3/19, Resident #12 was transferred to a hospital psychiatric unit for treatment. Resident #12's record did not document Resident #12 or his representative were provided written notice of transfer for either transfer. On 2/27/19 at 2:35 PM, RN #3 stated when a resident was transferred, she called the family and sent the chart and a copy of the MAR indicated [REDACTED]. She stated she did not know about providing written transfer/discharge information. On 2/27/19 3:15 PM, the Patient Financial Counselor confirmed the facility did not give residents a written notice of transfer or discharge. | 2020-09-01 |