cms_ID: 57
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
57 | WEISER CARE OF CASCADIA | 135010 | 331 EAST PARK STREET | WEISER | ID | 83672 | 2016-10-21 | 166 | E | 0 | 1 | 224111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident and staff interview and review of facility policies, it was determined the facility failed ensure grievances regarding lost items were resolved. This was true for 3 of 18 sampled residents (#15, #16 and #18). This deficient practice placed residents at risk of psychosocial harm due to lack of control over their belongings and inability to resolve their concerns through established processes. Findings include: 1. During the resident group interview on 10/19/16 at 11:00 am, Resident #15 reported several months ago he sent 3 pairs of pajamas to the laundry to be washed and only the tops of the pajamas were returned to him. He informed nursing staff immediately when his bottoms were not returned and nothing had been done. During an interview with the Assistant Social Worker (ASW) on 10/20/16 at 11:30 am, she reported the missing items were just brought to her attention yesterday on 10/19/16, after the group meeting ended at 12 noon and since then she had already ordered replacements for 4 sets of flannel pajamas from a local clothing store. She further stated she had since then informed Resident #15 the pajamas had been ordered and were scheduled for delivery in 7 days. 2. Resident #16 reported in the resident group interview on 10/19/16 at 11 am, that he had diabetes and [MEDICAL CONDITION]. He said he went to appointments at the [MEDICAL TREATMENT] clinic 3 times per week. Resident #16 reported he brought a blood sugar monitoring accu-check machine from home to the facility so he could check his blood sugar while away from the facility. Resident #16 reported the machine was kept in the nurse's medication cart and when needed he would request his machine. Approximately 2 weeks ago he requested his machine and the nurse informed him the machine was missing. He said he spoke with the supervisor immediately, however, no one to date had gotten back with him even though a concern/ grievance form was completed. During a subsequent interview with the ASW on 10/20/16 at 11:40 am, she reported she did not remember a concern/ grievance form, but yesterday (10/19/16) she placed a written request for the hospital next door to provide Resident #16 with a new machine. The ASW provided a form from the physician and the hospital next door approving the replacement of the blood sugar machine. 3. Resident #18 reported in the resident group interview on 10/19/16 at 11:20 am, she sent her pajama top and bottom down to the laundry to be washed, but they were never returned to her. She indicated she informed the ASW approximately 1 month ago but she had heard nothing on the status of her lost items. During an interview with the ASW on 10/20/16 at 11:30 am, she reported the missing items were just brought to her attention yesterday on 10/19/16, after the group meeting ended at 12 noon and she had since then already ordered a replacement of 1 set of cotton pajamas from a clothing store. She further stated she had since then informed Resident #18 the pajamas had been ordered and were scheduled for delivery in 7 days. During an interview with the ASW on 10/20/16 at 1:30 pm, she confirmed the resident concerns/ grievances must have gotten lost in the shuffle. 4. Following the resident group meeting conducted on 10/19/16 at 11:00 am, a review of the facility's policy titled Grievance Policy and Procedure was completed. The policy stated when a resident and/or family voiced a concern, staff or the complainant should document the concern on the form labeled Grievance/Concern Form and forward the form to the ASW. The facility's Grievance file and Resident Council meeting minutes for (YEAR) were reviewed. No grievances had been transferred to paper, although staff were informed of the residents' grievances. | 2020-09-01 |