cms_ID: 96
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 96 | GATEWAY TRANSITIONAL CARE CENTER | 135011 | 527 MEMORIAL DRIVE | POCATELLO | ID | 83201 | 2019-10-03 | 657 | D | 1 | 0 | 4YWP11 | **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 resident care plans were appropriately revised for 2 of 8 residents (#1 and #3) whose care plans were reviewed. This failure had the potential for residents to not receive care and services which met their needs. Findings include: 1. Resident #3 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A quarterly MDS assessment, dated 9/12/19, documented Resident #3's BIMS score was 12, indicating she had a mild cognitive impairment. The MDS documented Resident #3 had no behaviors. An investigation, dated 9/6/19, stated on 9/1/19 at 3:00 AM, Resident #5 reported to a CNA on duty Resident #3 was yelling out and he (Resident #5) went into Resident #3's room and found her without covers. The investigation stated Resident #5 replaced the covers on Resident #3 and then reported it to the CN[NAME] The investigation included 3 statements from residents, dated 9/1/19, whose rooms were near Resident #3. The statements documented the following: - One resident (Room B21) statement documented Resident reported he is often awake at night and can hear (Resident #3) yell out frequently throughout the night. Resident stated she (Resident #3) often repeats 'help me, help me.' - The second resident (Room B18) statement documented Resident stated her neighbor (Resident #3), often yells at night and will often yell 'help me, help me.' Resident stated she and (Resident #5) have visited with this resident (Resident #3) at night to help calm her down. - The third resident (Room B23) statement documented Resident stated there is a resident (Resident #3) who calls out throughout the night. Resident stated .she yells out for a long time. Resident #3's care plan did not include a care area or interventions related to nighttime behaviors. On 10/3/19 at 7:25 AM, the DON stated Resident #3's care plan did not address nighttime behaviors and no concerns were reported by the staff. The facility staff did not revise and update Resident #3's care plan to include her nighttime behaviors. 2. Resident #1 was readmitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident #1's care plan related to falls, dated 5/21/19, stated Do not leave (Resident #1) in room in chair unattended. Resident #1 was observed to be sitting in his wheelchair in his room, watching television. No staff were present in the room with him. On 10/3/19 at 7:25 AM, the DON stated Resident #1 could be left alone in his room and his care plan needed to be revised. The facility failed to ensure Resident #1's care plan was revised to meet his current needs. | 2020-09-01 |