cms_ID: 83
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 83 | GATEWAY TRANSITIONAL CARE CENTER | 135011 | 527 MEMORIAL DRIVE | POCATELLO | ID | 83201 | 2019-04-12 | 657 | D | 0 | 1 | WTPU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, policy review, resident interview, and staff interview, it was determined the facility failed to ensure residents' care plans were revised as needed. This was true for 1 of 21 residents (Resident #67) whose care plans were reviewed. This failure had the potential for harm if cares and/or services were not provided due to inaccurate information. Findings include: The facility's Care Planning policy, undated, directed staff to develop a comprehensive care plan for each resident and care plans were to be updated quarterly and as needed. Resident #67 was readmitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. a. Resident #67's quarterly MDS assessment, dated 3/21/19, documented she required the assistance of two staff with toilet use and transfers, and the assistance of one person with eating. Resident #67's care plan documented she required one-person assist with toilet use and transfers. The care plan was not consistent with the MDS assessment for Resident #67 which documented she required the assistance of two staff with toilet use and transfers and the assistance of one staff for eating. b. An Incident and Accident report, dated 1/21/19, documented Resident #67 had a fall and fractured her right shoulder. A hospital evaluation, dated 1/21/19, documented Resident #67 had a right shoulder fracture and directed staff to provide a sling for comfort. Resident #67's MAR, dated 1/30/19 through 3/18/19, documented a sheepskin sleeve was to be placed around the strap of the sling, in the neck area, for comfort. Resident #67's physician's progress notes, dated 2/6/19, 3/6/19, and 4/3/19, directed staff to provide a sling for her right shoulder fracture. Resident #67's care plan, documented she was at risk for falls and had a history of [REDACTED]. Resident #67's care plan did not include documentation she fractured her right shoulder and she required the use of a shoulder sling with a sheepskin sleeve over the strap of the sling. c. Resident #67's progress notes, dated 3/21/19, documented she received counseling services through a local mental health provider. The notes documented she was treated for [REDACTED]. Resident #67's care plan did not include she received counseling services. On 4/12/19 at 8:28 AM and 10:52 AM, The ADON stated Resident #67's ADLs care plan should have been revised to include her need for two-person assistance related to toilet use and transfers and one person assistance with eating. The ADON stated Resident #67's care plan was not revised to include her fractured right shoulder and her need for a sling with a sheepskin cover. The ADON stated Resident #67 continued to receive counseling from a local counseling provider and the care plan did not include this service. | 2020-09-01 |