cms_MS: 63
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
63 | BOYINGTON HEALTH AND REHABILITATION | 255092 | 1530 BROAD AVE | GULFPORT | MS | 39501 | 2017-11-16 | 282 | D | 0 | 1 | 212T11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review, and facility policy review, the facility failed to follow the care plan related to incontinent care for one (1) of 16 care plans reviewed for incontinent care, Resident #9. Findings included: A facility Care Plan-Comprehensive policy, dated (MONTH) (YEAR), revealed the care plan would include measurable objectives to meet the medical, nursing, mental and psychological needs for each resident. A review of Resident #3's current Comprehensive Care Plan revealed the resident was at risk for skin break down related to incontinence of bowel and bladder. An intervention for this problem was to provide prompt peri-care after each incontinent episode. In an observation, on 11/15/17 at 9:45 AM, Certified Nursing Assistant (CNA) #1 and CNA #2 performed peri-care on Resident #9. CNA #1 completed care over the front of the perineum. CNA #1 and CNA #2 did not clean Resident #9's buttocks or the sacrum. In an interview, on 11/15/17 at 9:45 AM, CNA #1 said she had completed care on Resident #9 and said the policy was to clean the buttocks or the sacrum if the resident had an incontinent bowel movement. CNA #1 said she had completed training that included a check off for perineum care. CNA #1 confirmed she cleaned only the front perineal area. In an interview, on 11/16/17 at 10:15 AM, Registered Nurse (RN) #2, Staff Development, said the training for incontinent care included complete care which included to wash the front of the perineum and the buttocks and sacrum after each incontinence episode regardless of bowel movement. During an interview, on 11/16/17 at 10:35 AM, Registered Nurse (RN) #1, Care Plan Nurse, confirmed Resident 9's care plan included incontinent care. RN #1 said the care plan meant to complete peri-care by their training, which included the front and back of the perineal area. A review of the facility's face sheet revealed the facility admitted Resident #9 on 04/21/13. Resident 9's [DIAGNOSES REDACTED]. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 08/12/17, revealed staff assessed Resident 9 with severely impaired cognition. A review of Section H0300, dated 08/12/17, revealed Resident #9 was always incontinent of bladder. | 2020-09-01 |