cms_ID: 8
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8 | ST LUKE'S ELMORE LONG TERM CARE | 135006 | 895 NORTH 6TH EAST | MOUNTAIN HOME | ID | 83647 | 2017-07-27 | 280 | D | 0 | 1 | V9TA11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, resident and staff interview, it was determined the facility failed to ensure a resident's care plan was revised to reflect current needs. This was true for 1 of 7 (#4) sampled residents and had the potential for harm if residents did not receive appropriate incontinence care and interventions due to lack of direction on the care plan. Findings include: Resident #4 was readmitted to the facility on [DATE] with multiple diagnoses, including urinary obstruction. Resident #4's physician order, dated 9/29/16, documented an order for [REDACTED].>Resident #4's current bladder continence care plan, dated 6/12/17, documented an intervention, Condom catheter on at all times. Resident #4's quarterly Minimum Data Set assessment, dated 6/28/17, documented the resident was cognitively moderately impaired, required extensive two-person assistance with toileting, was incontinent of bowel and bladder, and had an external catheter. Resident #4's progress notes, dated 6/30/17, documented a small area of the skin of the meatus was missing from Resident #5's penis, the physician was notified, and ordered barrier cream to the affected area. Progress notes, dated 7/7/17, documented the resident's penis had healed and no new issues were noted and we will continue to keep the condom catheters off at this time. Resident #4's (MONTH) (YEAR) active orders documented an order for [REDACTED].>On 7/25/17 at 12:55 pm, Resident #4 was observed with an absorbent incontinent pad beneath him and the resident said there was also a pad covering the top of his peri area. He said he no longer used the condom catheter and did not like to wear incontinent briefs when in bed. On 7/24/17 at 3:00 pm, CNA #5 (Certified Nurse Assistant) said Resident #4 was incontinent of bowel and bladder and used incontinent pads while in bed because he did not like to wear incontinent briefs and the pads were checked every two hours and changed if they were wet or soiled. On 7/25/17 at 1:55 pm, CNA #6 said Resident #4 had used a condom catheter in the past, but had not used a catheter for amonth or two. She said the resident used incontinent pads under him and one on top of his peri area which were checked every two hours and changed if they were wet or soiled. On 7/25/17 at 2:20 pm, LPN #1 said Resident #4 did not use a condom catheter and was incontinent of bladder. On 7/26/17 at 1:50 pm, the DNS (Director of Nursing Services) said Resident #4 was incontinent of bowel and bladder and staff were to check and change the resident's incontinent pads while in bed. She said the bladder continent care plan was not updated when the resident's catheter was discontinued and it did not direct staff regarding the resident's incontinence care needs. | 2020-09-01 |