| 19 |
DOUGLAS COUNTY HEALTH CENTER |
285019 |
4102 WOOLWORTH AVENUE |
OMAHA |
NE |
68105 |
2019-01-23 |
657 |
D |
0 |
1 |
AD1911 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interview, facility failed to ensure care plans were updated with resident individualized preferences for activities for 4 residents (Residents 226, 195,136, 79). Facility census was 232. Findings are: Resident 79 On 01/21/19 a record review of annual MDS (Minimum Data Summary) (part of the federally mandated process for clinical assessment of all residents) dated 2/16/18 revealed Resident 79 likes were completed by staff and include having family or friend involved in discussions about care, listening to music, being around animals such as pets, doing things in group of people, doing favorite activity, and going outside weather permitting. On 01/22/19 a record review of Recreation Initial Assessment, Past and Present Leisure Interests, Activity List Quick Reference, dated 2/25/18 for Resident 79, revealed a current interest in small group dining out, holiday celebrations, drive/outings, and individual watching movies, listening to music, watching TV, getting outside, and pets. On 01/22/19 a record review of Care Plan for Resident 79 revealed goals of attending social/entertainment groups off neighborhood monthly, participating in activities such as music groups sensory stimulation or pet therapy monthly and attend at least one community outing of choice in next 90 days. Interventions are invite resident to activity and escort, encourage participation in activities of choice, provide socially stimulating activities, providing pet therapy, invite on outings, provide choices, hang outing slip in room as a reminder of day/time of community outing. Resident 136 On 01/21/19 a record review of annual MDS dated [DATE] for Resident 136 revealed listening to music as very important, keeping up with news as somewhat important, and to do/attend favorite activities as somewhat important. 01/22/19 12:14 PM Record review of Recreation Annual assessment dated [DATE] for Resident 136 revealed resident has a current interest in individual keeping up with current events, socializing, listening to music, watching the new, talk radio (listening), walking and pets. A current interest in small group shopping, dining out, drive/outings, listening to music, and current interest in large group shopping, dining out and listening to music. On 1/21/19 a record review of Care Plans for Resident 136 revealed goals are to participate in programs such as outdoor groups , music groups and sensory stimulation at least 3 times in next 90 days, to attend an outing 1 time in next 90 days, she will interact at least 3/12 times during 1:1's with TR staff in next 90 days. Interventions include provide opportunity for resident to visit courtyard. Invite to outdoor groups. Invite and escort resident to group activity and monitor responses, provide diversional activities for resident upon request, read calendar to resident and have resident choose group to attend, resident enjoys opera music, provide choices for community outings, announce presence when coming into room, and provide sensory stimulation. Resident #195 On 01/22/19 a record review of Recreation Annual Assessment, Past and Present Leisure Interests, Activity List Quick Reference, dated 12/27/18 for Resident 195, revealed current interest of in books/mags/newspapers,socializing, watching TV, talk radio, walking, getting outside, relaxation, and pets for individual, 1/1 and small groups. On 1/22/19 a record review of Care Plan for Resident 195 revealed interventions of offer resident the choice of community outings, offer transportation to and from activities, provide socially stimulating activities. Resident 226 On 01/17/19 a record review of annual MDS dated [DATE] for Resident 226, revealed a staff assessment of daily an activity preferences as family or significant other involved in care discussions, listening to music, doing things in a group of people, participating in favorite activities and spending time outdoors as checked for important. On 01/22/19 a record review of Recreation Annual Assessment, Past and Present Leisure Interests, Activity List Quick Reverence, dated 12/11/18, for Resident 226, revealed a current interest in individual socializing, dining out, holiday celebrations, and drive/outing, as well as individual watching movies, listening to music, and watching sports, and individual walking, bowling, and getting outside, and individual pets and a current interest in small group activities as dining out, holiday celebrations, and drive/outing. On 1/22/19 a record review of Care Plan revealed goals to increase his socialization, resident will attend activities with a social component monthly for next 90 days, resident will participate in programs such as music performances and pet therapy monthly in next 90 days. Interventions are to invite resident to activity and escort, provide pet therapy, provide sensory stimulation, invite on outings, provide choices, hang outing slip in room as a reminder of day/time of community outing and to monitor for future recreational interests and is to attend at least one community outing of choice during the next 90 days. On 01/23/19 at 02:10 PM an interview with the DON, who confirmed the care plans were not individualized. |
2020-09-01 |