cms_NE: 1505
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1505 | AZRIA HEALTH ASHLAND | 285140 | 1700 FURNAS STREET | ASHLAND | NE | 68003 | 2019-04-16 | 623 | D | 1 | 0 | 19PP11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC 12-006.05 Based on record review and interview, the facility failed to provide in writing to the resident's legal representative a 30 day notice in advance of the discharge from the facility for Resident 372 and failed to notify the resident and the residents representative in writing of the reason for the discharge for Resident 62 out of 2 residents sampled for discharge. The facility census was 69. Findings are: Review of Resident 372's Admission Record dated 4-11-19 revealed an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of Resident 372's MDS (Minimum Data Set, a federally mandated comprehensive assessment tool used for care planning) dated 1-4-18 revealed the resident had disorganized thinking. The resident had not had any behaviors exhibited during the assessment period in January. Resident 372 required supervision of one staff with transfers, walking, toileting and eating. Review of Resident 372' undated Care Plan revealed the discharge plan was initiated on 5-1-17 and was the resident and family wanted Resident 372 to stay in the facility long term. The resident/family was to be included in any discharge plans and kept updated of any changes during the resident's stay. This intervention was last updated 1-23-18. Social Service would visit with the resident and family to keep them updated and the resident would receive assistance for referrals to appropriate community resources as needed. This intervention was last updated 6-9-17. Review of the PN (Progress Notes) of Resident 372 revealed the resident had a history of [REDACTED]. On 3-4-18 the resident exhibited behaviors towards other residents without any injury resulted and toward staff and the facility transferred Resident 372 via an ambulance to a hospital to be evaluated. The resident was evaluated at the hospital and had not been demonstrating any behaviors at that time so the hospital wanted to send the resident back to the facility. Review of the PN dated 3-5-18 at 6:49 PM revealed .SSD (Social Service Department) received a call from a case worker at (Hospital) that they wanted to send resident back to (facility). (Gender) was not showing behaviors at this time and (gender) was regretful'. After this SSD spoke to caseworker insisting that they keep (gender). If they couldn't, I asked (the hospital) to ask the family if one of them can stay in our facility over night, or if (the resident) can stay at one of their homes because we cannot provide 1:1 care. Interview on 4-11-19 at 2:02 PM with SSD-U revealed before the incident of 3-4-18, the facility had not been actively searching for another facility for the resident to live. The facility had been managing the resident's behaviors but lately Resident 372's behaviors had been escalating and after the 3-4-18 incident, the SSD-U felt if they readmitted the resident back to the facility the facility would be putting the other residents at harm and the facility did not have the staff to do 1:1 care with Resident 372 until they could find another placement. SSD-U confirmed a 30 day notice had not been given to the resident or legal representative nor had a written explanation been given explaining the reason for the discharge. Interview on 4-16-19 at 10:02 AM with the DON (Director of Nursing) confirmed up until the incident on 3-4-18 the facility had not been planning on discharging Resident 372 and there had not been any discussions or written information given to the legal representative about needing to discharge the resident. After the incident of 3-4-18 with the 3 other residents, the facility felt at times, the resident required 1:1 attention and the facility did not have the staff to provide this so therefore felt they could not meet the resident's needs. The DON confirmed a 30 day notice had not been given to the resident or legal representative nor had a written explanation been given explaining the reason for the discharge. | 2020-09-01 |