cms_NE: 3
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3 | ST JANE DE CHANTAL | 285004 | 2200 SOUTH 52ND STREET | LINCOLN | NE | 68506 | 2017-01-03 | 241 | D | 0 | 1 | X2RI11 | Licensure Reference Number: 175 NAC 12-006.05 (4) Based on observation, record review and interview; the facility failed to ensure one resident (Resident 102) of 41 sampled was treated with respect and dignity related to communication. The facility census was 109. Findings are: Review of Resident 102's Minimum Data Set ( MDS, a federally mandated assessment tool used for care planning) dated 9/20/16 revealed Resident 102 was cognitively intact, had no speech, understood what was being said and was usually understood. Review of Resident 102's Care Plan dated 4/20/16 revealed Resident 102 was able to mouth words but was difficult to understand and would use a spell board to communicate. Review of a Family Meeting Note for Resident 102 dated 10/12/16 revealed, The patient has identified the following goals/expectations of the program: Res (Resident) asked that staff use (Resident 102's) the communication board more. An interview with Resident 102 was conducted on 12/20/2016 at 03:16 PM with the assistance of Registered Nurse (RN) C using Resident 102's communication board (also referred to as the spell board). Resident 102 indicated staff needed to improve communication with Resident 102. Resident 102 further reported staff do not look at Resident 102's face when they are in the room and could not tell when Resident 102 was attempting to communicate with them. RN C then asked Resident 102 if the staff utilized the spell board when communicating and Resident 102 responded no. Observation of Nursing Assistant (NA) D and NA [NAME] on 12/28/2016 at 2:03 PM revealed while NA D and NA [NAME] were assisting Resident 102 with repositioning. Resident 102 mouthed a sentence in an attempt to communicate without either NA noticing. NA D and NA [NAME] were talking to each other and occasionally made eye contact with each other while continuing to provide cares for Resident 102. Resident 102 attempted an additional five times to mouth the same sentence before either NA noticed. NA D then noted Resident 102 mouthing words and asked if they could finish their cares before attempting to understand what Resident 102 was attempting to state. Resident 102 agreed. NA D and NA [NAME] finished by straightening the covers on the bed, situating the call light and supplies and removing their gloves. Resident 102 again attempted to mouth the sentence an additional 2-3 times before NA D gave up trying to read the resident ' s lips and went to get the spell board. Resident 102 was then able to spell out the sentence so NA D and NA [NAME] could understand what Resident 102 was requesting. An interview was conducted with NA D AND NA [NAME] on 12/28/16 at 2:25 PM to ask how they knew when Resident 102 was attempting to communicate. NA D and NA [NAME] revealed that staff needed to keep one eye on Resident 102 at all times. When informed that Resident 102 had attempted to communicate 6 times during the observed cares, NA D and NA [NAME] responded that Resident 102 would have wide eyes if it was important and they would noticed if that had occurred. NA D went on to report that Resident 102 did not like to use the spell board. A follow up interview with Resident 102 and a family member on 12/29/2016 at 3:32 PM revealed Resident 102's family member was aware this was a concern for Resident 102. The family member reported the staff needed to find a way to ensure Resident 102 was being heard when attempting to communicate. Resident 102 went on to state that staff just needed to make sure they were looking at Resident 102's face to know when Resident 102 was attempting to communicate. | 2020-09-01 |