cms_ID: 6
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6 | ST LUKE'S ELMORE LONG TERM CARE | 135006 | 895 NORTH 6TH EAST | MOUNTAIN HOME | ID | 83647 | 2020-01-24 | 657 | D | 0 | 1 | JSJS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure residents' care plans were regularly reviewed and revised for 1 of 16 residents (Resident #13) whose care plans were reviewed. This failure created the potential for harm if the resident was to receive inappropriate or inadequate care. Findings include: The facility's Resident Care Plan policy, dated 6/30/18, documented a comprehensive person-centered care plan was developed by an interdisciplinary team for each resident, and upon a change in status of the resident, the care plan was modified. This policy was not followed. Resident #13 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. On 1/21/20 at 3:31 PM, Resident #13 was observed in her room laying in bed with 2 bed rails up. A quarterly MDS assessment, dated 12/26/19, did not include documentation Resident #13 used bed rails. The next quarterly MDS assessments, dated 3/25/19, 6/25/19, and 9/25/19, documented Resident #13 used bed rails daily as a physical restraint. Resident #13's Care Plan did not include a revision for the use of bed rails or interventions why the resident needed them. On 1/23/20 at 5:15 PM, the DNS and MDS Coordinator were unable to locate a care plan for bed rails for Resident #13. On 1/24/20 at 10:45 AM, the Administrator stated Resident #13 did not have the use of bed rails documented on her care plan. | 2020-09-01 |