cms_ND: 81
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 |
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81 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2018-08-16 | 657 | D | 0 | 1 | B0I611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THIS IS A REPEAT CITATION FROM THE SURVEY COMPLETED ON 07/26/17. Based on observation, record review, and staff interview, the facility failed to review and revise the comprehensive care plan to reflect the current status for 2 of 18 sampled residents (Resident #8 and #35). Failure to revise the care plan limited staff's ability to communicate care needs and ensure continuity of care for each resident. Findings include: The facility failed to provide a policy regarding care plans per request. - Review of Resident #8's medical record occurred on all days of survey. The current physician's orders [REDACTED]. Observations on 08/15/18 at 3:59 p.m. and 08/16/18 at 9:33 a.m. showed Resident #8 not wearing her TED hose. The current care plan stated, . [MEDICAL CONDITION] . Administer medications as ordered, Assist with activities as needed, Dangle at edge of bed/chair before transfers, Encourage rest periods as needed, Obtain vital signs as indicated, report changes to physician, Obtain weights as needed/ordered, Report significant change. The facility failed to care plan the resident's need for/use of TED hose. - Review of Resident #35's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. The current care plan stated, . Potential for skin breakdown . Keep skin clean and dry, Use lotion on dry skin, Provide wound care as ordered, (brand name) (blue) boots at night as resident allows, Reposition at routine intervals, encourage to lay down between meals and to limit time spent sitting up in chair, Special mattress/cushion on wheelchair. The facility failed to care plan the resident's need for/use of a pillow between his knees to prevent skin breakdown. Observations showed the following: * 08/14/18 at 9:52 a.m., two certified nursing assistants (CNAs) (#8 and #9) transferred Resident #35 to bed using a mechanical lift. One of the CNAs (#9) placed a pillow between the resident's knees, covered him with a blanket, and handed him his call light. * 08/15/18 at 9:11 a.m., two CNAs (#10 and #11) transferred Resident #35 into bed using a mechanical lift and provided personal cares. One CNA remarked, His knees must be so painful. The staff members failed to place a pillow between Resident #35's knees. * 08/16/18 at 10:00 a.m., Resident #35 laid in bed, with a pillow between his knees. Resident #35's medical record also identified [DIAGNOSES REDACTED]. A Speech Therapy Progress (and) Discharge Summary, dated 01/18/18, identified, . Precautions: Position at 90 degree angle during and 20 minutes after oral intake. Positioning during oral intake must be Approx. (approximately) 90 degrees. The current care plan stated, . ADL (Activities of Daily Living) self care deficit . Assist with . eating as needed. The facility failed to care plan the resident's need to be seated at a 90 degree angle prior to eating/drinking to prevent aspiration. Observation showed the following: * 08/14/18 at 9:52 a.m., Resident #35 laid on his left side in bed, with the head of the bed reclined to an approximate 20 degree angle. A certified nursing assistant (CNA) (#9) raised Resident #35's bed (with the head of the bed in the reclined position) and gave him a drink of water via a straw. * 08/15/18 at 9:11 a.m., Resident #35 laid flat on his back in bed, with his head resting on two pillows (an approximate 20 degree angle). Two CNAs (#10 and #11) gave him a drink of water via a straw. In both instances, the staff members failed to raise the head of Resident #35's bed to a 90 degree angle prior to offering him a drink of water. | 2020-09-01 |