cms_ND: 41
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 41 | THE MEADOWS ON UNIVERSITY | 355024 | 1315 S UNIVERSITY DR | FARGO | ND | 58103 | 2018-12-06 | 657 | D | 1 | 0 | PNS511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 06/28/18. Based on observation, record review, review of facility policy, and staff interview, the facility failed to review and revise comprehensive care plans to reflect the resident's current status for 1 of 10 sampled residents (Resident #10). Failure to review/revise care plans to reflect each resident's current status limited the staffs' ability to communicate needs and ensure continuity of care for the residents. Findings include: The facility failed to provide a copy of their policy addressing resident care plans upon request. Review of the facility's policy titled Weight Assessment and Intervention occurred on 12/06/18. This policy, dated (YEAR), stated, . (Careplanned) Interventions for undesirable weight loss shall be based on careful consideration of . Resident choice and preferences . The use of supplementation . Review of Resident #10's medical record occurred on all days of survey. The record identified a [DIAGNOSES REDACTED]. - Resident #10's bathing record identified an initial bath on 11/26/18 (eight days post admission to the facility). The current care plan stated, . Focus: Resident has a potential for self care deficits . Interventions: . Assist resident with activities he/she is unable to perform independently. Encourage patient to perform minimal oral-facial hygiene as soon after rising as possible. Assist with brushing teeth and shaving, as needed. Resident #10's current care plan failed to address her bathing needs. - Resident #10's physician's orders [REDACTED]. Apply to rectum topically BID (twice daily). Donut cushion to minimize perineal discomfort with sitting. The current care plan stated, . Focus: Skin integrity impaired: redness to perineum area secondary to diarrhea r/t (related/to) [MEDICAL CONDITION] . Interventions: Maintaining clean, dry skin provides a barrier to infection. [NAME]ng skin dry instead of rubbing reduces risk of dermal trauma to fragile skin. Monitor for s/s (signs/symptoms) of infection . Notify MD (medical doctor) as needed. The care plan failed to reflect Resident #10's need for a physician-prescribed barrier cream and/or a pressure relieving device. - Resident #10's Nutritional Assessment, dated 11/20/18, identified, . Other Food Likes/dislikes . Does not drink milk. The facility provided a copy of Resident #10's current snack schedule. The schedule identified, Dislikes . Wheat Bread . Pancakes . and . All Days (receives) . Boost Vanilla Observations on (MONTH) 5-6, (YEAR) showed dietary staff placed milk on Resident #10's meal trays. Resident #10 did not drink the milk, and made several comments regarding her food preferences. The current care plan identified, . Focus: Potential for or presence of altered nutrition needs related to . selective food preferences, unwillingness to accept nutritional supplements . Interventions: Encourage food and fluid intake . Snacks provided as scheduled . The care plan failed to reflect Resident #10's choices/preferences and/or supplementation as specified in the facility's policy. During an interview on 12/06/18 at 1:30 p.m., when asked questions pertaining to Resident #10's care plan, an administrative nurse (#1) confirmed staff failed to revise her care plan to include her bathing needs, physician-prescribed barrier cream and/or a pressure relieving device, and food choices/preferences and/or supplementation as specified in the facility's policy. | 2020-09-01 |