cms_NE: 26
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 26 | DOUGLAS COUNTY HEALTH CENTER | 285019 | 4102 WOOLWORTH AVENUE | OMAHA | NE | 68105 | 2019-08-12 | 690 | D | 1 | 0 | 7ED912 | > LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D3 Based on observation, record review and interview; the facility staff failed to provide scheduled toileting for 2 (Resident 21 and 25) of 2 sampled residents. The facility staff identified a census of 130. Findings are: [NAME] Record review of Resident 25's Comprehensive Care Plan (CCP) printed on 1-11-2019 revealed Resident 25 was incontinent of bowel and bladder and that staff were to provide frequent toileting. Observation on 10-09-2019 at 6:30 AM revealed Resident 25 was ambulating in the hall of the secured unit. Observation on 10-09-2019 at 10:15 AM revealed Resident 25 was ambulating in the hall of the secured unit. Further observation revealed the back of Resident 25's red sweat pants had a large wet area to the buttock area extending down to the middle of the back of the upper legs. Observation on 10-09-2019 at 10:20 AM revealed Nursing Assistant (NA) F escorted Resident 25 to Resident 25's room and into the bathroom. NA F removed a saturated brief Resident had been wearing and placed Resident 25 onto the toilet. On 10-09-2019 at 10:30 AM an interview was conducted with NA F. During the interview NA F confirmed Resident 25 had been incontinent through Resident 25's clothing. When asked the last time Resident 25 was assisted with toileting needs, NA F reported this was the first time since 6:30 AM. On 10-09-2019 at 10:35 AM an interview was conducted with Licensed Practical Nurse (LPN) D. During the interview LPN D reported Resident 25 is a heavy wetter . and that Resident 25 should be toileted every 2 hours. On 10-09-2019 at 12:05 PM a follow up interview was conducted with LPN D. During the interview LPN D reported had spoken with the nursing assistants on the unit and none of the NA's reported taking Resident 25 to the bathroom. LPN D confirmed Resident 25 had been up since at 6:30 AM and should have been toileted prior to 10:20 AM. B. Record review of Resident 21's CCP revealed on 8-26-2019 an update to Resident 21 CCP directing the facility staff to toilet Resident 21 every 2 hours. Observation on 10-09-2019 at 7:10 AM revealed Nursing Assistant (NA) B and NA C assisted Resident 21 into a wheelchair from bed. Further observation revealed Resident 21 was taken to the dining room for breakfast. Observation on 10-09-2019 at 10:07 AM revealed Resident 21 was asleep in the wheelchair located in the dining room. Observation on 10-09-2019 at 10:15 AM revealed Resident 21 remained in the dining room asleep in the wheelchair. Observation on 10-09-2019 at 10:40 AM revealed Resident 21 remained in the dining room asleep in the wheelchair. Observation on 10-09-2019 at 11:00 AM revealed NA [NAME] and NA F assisted Resident 21 into the bathroom. A span of 3 hours and 50 minutes from 7:10 AM to 11:00 AM for toileting assistance. On 10-09-2019 at 11:07 AM an interview was conducted with Licensed Practical Nurse (LPN) D. During the interview when asked how often Resident 21 was to be assisted with toileting, LPN D stated every 2 hours. On 10-09-2019 at 2:45 PM an interview was conducted with RN [NAME] During the interview RN A reported had asked all nursing staff on the unit if Resident 21 had been assisted with toilet use and confirmed Resident 21 had not been assisted with toileting needs every 2 hours. | 2020-09-01 |