cms_ID: 7
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7 | ST LUKE'S ELMORE LONG TERM CARE | 135006 | 895 NORTH 6TH EAST | MOUNTAIN HOME | ID | 83647 | 2020-01-24 | 700 | D | 0 | 1 | JSJS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, it was determined the facility failed to ensure a resident was appropriately assessed and a consent was obtained prior to installing bed rails. This was true for 1 of 8 residents (Resident #13) reviewed for bed rails. This failure created the potential for harm from entrapment or injury related to the use of bed rails. Findings include: 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. Resident #13's MDS assessments, dated 3/25/19, 6/25/19, and 9/25/19, documented Resident #13 used bed rails daily as physical restraints. Resident #13's record included a bed rail assessment, dated 3/15/19, that was blank. Resident #13's chart did not include a current quarterly bed rail assessment. There was no risk versus benefit discussion documented in Resident #13's record or a consent for use of the bed rails by Resident #13. On 1/24/20 at 10:45 AM, the Administrator stated Resident #13 did not have a consent for the use of bed rails, the bed rails were not care planned, and her MDS assessment was inaccurate. | 2020-09-01 |