| 34 |
BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION |
135007 |
98 POPLAR STREET |
BLACKFOOT |
ID |
83221 |
2016-06-17 |
244 |
E |
0 |
1 |
J25411 |
Based on observation, record review, review of Resident Council meeting minutes, review of an inservice record, and staff, family, and resident interviews, it was determined the facility failed to ensure sufficient numbers of staff were available to meet the needs of residents. This was true for 5 of 19 sampled residents (#4, #5, #6, #7, and #8) and 6 of 7 residents in group interviews. This deficient practice resulted in residents experiencing incontinence due to lack of timely assistance with toileting placed residents at risk of psychosocial and physical harm due to unmet needs. Finding include: 1. On 6/12/16 at 6:00 pm, Resident #4 stated staff took over 30 minutes to answer call lights. Resident #4 stated staff would often just come in a turn off the call light without providing cares. Resident #4 stated there was not enough staff at night and during meals. Resident #4 stated, the facility pulled all the staff to the dining room to help with the meals so there was no one on the halls to answer the call lights. 2. On 6/13/16 at 12:30 pm, a family member stated she came to the facility several times a day because she felt she needed to be there because there was not enough staff. The family member stated the staff the facility had did a good job, but there was not enough of them. 3. On 6/14/16 at 10:10 am, Resident #6 stated the facility needed more help. Resident #6 stated she could push her call light and sometimes had to wait over 30 minutes for staff to respond or staff just ignored the call light. 4. On 6/15/16 at 10:20 am, during a group interview, the group stated there was not enough staff available during meals and during the night shifts. The group stated that after 10:00 pm, there were only 2 CNAs. The group stated they often had to wait up to 45 minutes for their call lights to be answered. The group stated the 400 and 500 halls were really short of staff. The group stated meal times took too long and did not understand why staff stood around the tray line waiting for trays. They stated that although they liked being able to go to the tray line to pick their meal, the process took too long. The group further stated they usually had to ask or wait for their meals to get something to drink. The group stated water was not served unless asked for as well as condiments. The group stated that not all the resident were able to eat what they wanted. If a resident was on a special diet, they could not get anything not on the diet especially if they were not able to voice their wishes. The group further stated fluids were not always offered in a glass or cups. They usually got drinks from a can. Resident Council Grievance meeting minutes from the last three months documented the following: *Review of (MONTH) Concerns- Meal service changed to improve flow and timing of meals and hall trays delivered before dining rooms and staff are unable to address residents' special needs or provide extra assistance due to being so busy. *March-Residents need assistance in the rehab dining rooms during meals and in completing menus; too much Mexican food on menus; potatoes and fruit too hard. *April-Salt and pepper over used in vegetables and gravies; potatoes under cooked; and meat overcooked and tough; meals cold in dining room; requests for smaller portions not provided; and drinks are not served timely at dinner meals. *May- Staff continue to turn off call lights without providing care. They say they will return but often forget. Staff also need to be quicker in answering the red bathroom call lights. Staff are not helping as efficiently in the dining room during tray line as they could be. A Mini Inservice for staff, dated 5/10/16, documented that residents' continue to report drinks are not served timely at the dinner meal in the dining room. Residents are stating there are times they receive their meal and have yet to be served anything to drink. This concern has been expressed during several resident council meetings. The inservice directed that all residents should receive water, as well as, beverages of choice. CNAs were identified as responsible to serve beverages at dinner meals and for staff to be aware of who is in the dining room to ensure drinks are passed prior to meal service. 5. Resident #7 reported insufficient staffing following her recent admission to the facility for rehabilitation due to total knee replacement surgery. During an interview on 6/13/16 at 2:10 pm, Resident #7 stated that it was hard for her to get to the bathroom on time and it took 2 to 3 staff to toilet her initially because of her non-weight bearing status. Resident #7 stated she waited an hour to an hour and a half to be toileted. Resident #7 reported staff came to her room and turned off her call light and said they would come back but did not. She stated she was incontinent the first couple days following her admission to the facility because she did not receive timely toileting assistance. Resident #7 reported nights were the worst for call light response time and that it still took 30-45 minutes when she turned on her call light. Resident #7 also stated, Forget it at meal time. Don't even put it (call light) on. Resident #7's family member was interviewed on 6/14/16 at 3:00 p.m. Family Member #1 stated Resident #7 was admitted to the facility for rehab about a week and a half ago following a total knee replacement. Family Member #1 stated Resident #7 had been completely continent prior to the surgery and was aware when she needed to use the toilet. Family Member #1 stated the resident had a catheter in the hospital but it was removed prior to her coming to the facility. He stated Resident #7 was put in incontinent briefs when she was admitted to the facility, although she was continent. Family Member #1 stated both he and Family Member #2 observed Resident #7 waiting too long for assistance and Resident #7 was incontinent and urinated in her briefs, as a result. He stated he had medical training and helped Resident #7 to the toilet twice when he was visiting because staff did not come timely and she had already been incontinent. 6. Resident #8 stated on 6/13/16 at 12:40 pm, that the facility was short staffed. Resident# 8 reported waiting up to 45 minutes at night for toileting. She reported Nights were the worst. She stated there was only one nurse aide routinely assigned to cover 2 halls (400 and 500). Resident #8 stated she was incontinent if she had to wait too long. 7. An Interview with Resident #5's family member (Family Member #3) was conducted on 6/15/16 at 5:30 pm. Family Member #3 stated Resident #5 was dependent on staff for all cares. Family Member #3 stated the facility was understaffed at times. She stated when the facility was understaffed, Resident #5 had to wait more than 2 hours to be repositioned and range of motion was not provided. She said she noticed longer wait times for assistance during meals. |
2020-09-01 |