cms_ND: 47
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 47 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2019-06-11 | 550 | E | 1 | 0 | HFFF11 | > THIS IS A REPEAT DEFICIENCY FROM SURVEYS COMPLETED ON 08/16/18. Based on information received from the complainants, observation, review of facility policy, and staff interview, the facility failed to provide care for 3 of 16 sampled residents (Resident #4, #13, and #15) and 2 supplemental residents (Resident #20 and #21) in a manner and environment that maintained, enhanced, and respected each resident's dignity and individuality. Failure to knock on doors, announce themselves, and wait for permission prior to entering residents' rooms, identify/honor resident preferences, and provide dining assistance/feed residents in a dignified manner does not preserve the residents' personal dignity or enhance their quality of life and places them at risk of embarrassment and/or emotional harm. Findings include: Information provided by the complainants indicated nursing staff failed to assist residents leaving them in soiled clothing and/or a dirty environment. Review of facility policy titled Quality of Life - Dignity occurred on 06/10/19. This policy, revised (MONTH) 2009, stated, . Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. Staff will knock and request permission before entering residents' rooms . - Observations showed the following: * 06/04/19 at 10:37 a.m., Resident #21 utilized the bathroom with the bedroom and bathroom doors open, and unclothed/exposed to the hallway. Staff were not present in the room to assist her with transfer/toileting. * 06/04/19 at 2:51 p.m., Resident #21 utilized the bathroom with the bedroom and bathroom doors open, and unclothed/exposed to the hallway. An unidentified nurse attempted to close the bathroom door. The unidentified nurse left the room after Resident #21 refused to allow her to close the door. Review of Resident #21's medical record occurred on 06/04/19. The current care plan stated, . self care deficit . Break . tasks into sub-task for easier patient performance . Cares in Pairs . Transfer with one assist with gait belt . The care plan failed to identify Resident #21's preference for the bathroom and bedroom doors to be left open. - Observation on 06/04/19 at 11:20 a.m., showed Resident #4 sat in his room as an unidentified laundry staff member entered the room without knocking or identifying himself/herself. - Observation on 06/04/19 at 12:10 p.m., showed Resident #20 held a bowl up to his mouth and ate spaghetti directly from the bowl. Wrapped silverware laid on the table beside the resident. An unidentified staff member walked passed Resident #20's table several times without offering assistance. After all thr trays had been passed, the unidentified staff member sat down to assist Resident #20. During an interview on 06/06/19 at 9:05 a.m., an administrative nurse (#5) stated he expected staff to set up trays for those residents who are able to feed themselves. The staff member then added residents who require assistance should be served when the staff member is able to sit down and assist them. - Observation on 06/04/19 at 3:21 p.m. showed Resident #15 sat in her wheelchair. Crumbs and stains covered Resident #15's T-shirt, pants, and wheelchair and debris covered the left foot pedal. - Observation on 06/05/19 at 12:12 p.m. showed a certified nursing assistant (CNA) (#3) standing next to Resident #13's wheelchair as she fed her. The CNA (#3) also scraped food residue from Resident #13's face with a glass. The CNA failed to sit next to the resident throughout the meal and failed to utilize a napkin to wipe residue from her face. | 2020-09-01 |