cms_NE: 60
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 60 | HOMESTEAD REHABILITATION CENTER | 285049 | 4735 SOUTH 54TH STREET | LINCOLN | NE | 68516 | 2019-09-30 | 565 | E | 1 | 1 | UZYC11 | > Licensure Reference Number 175NAC 12-006.06B Based on record review and interview the facility failed to ensure that residents and other persons filling out a grievance (complaint) were informed of the findings of the investigation and the corrective actions taken by the facility within 3 working days. This had the potential to affect all residents of the facility. The facility census was 123. Findings are: Record review of the facility policy titled Resident/Family Grievances dated 1/22/19 step 7 revealed: The resident or person filing the grievance and/or complaint on behalf of the resident, will be informed of the findings of the investigation and the actions taken to correct any identified problems. Such report will be made orally by the Grievance Official, administrator, or his or her designee, within 3 working days of filing of the grievance or complaint with the facility. A written summary of the report will also be provided to the resident upon their request, and a copy will be filed in the Social Services department. Interview on 9/24/19 at 1:40 PM in the facility activity room with Resident 121 and Resident 77 confirmed that they did not know who the facility Grievance Officer was and confirmed that residents do not receive a follow up report for filed grievances. Record review of the facility grievances revealed no documentation that the report of findings was provided to the person filing the grievance. Interview with the facility Administrator on 9/24/19 at 2:55 PM confirmed that the facility is missing documentation for grievances. B. Record review of an email dated 09/16/19 at 10:17 AM revealed an email was sent to SSD (Social Services Director) J from Staff member K regarding Resident 58's missing under garment. It had been missing for several weeks, the front desk personnel was unsure if the resident had reported the loss to the right person. Inquired if the SSD knew of the missing item. A hand written note on the form revealed that SSD was looking in laundry for the missing item. Record review of the Policy for Grievances dated 01/22/19 revealed; any resident, his or her representative, family or appointed advocate may file a grievance or complaint concerning treatment, medical care, behavior of other residents, staff members, theft of, or missing property. The administrator had appointed a Grievance Official to be the contact person for the residents, their representatives, other interested family members or advocates. Upon receipt of a grievance and or complaint a designated individual will investigate and submit a written report of the findings to the Grievance official. The Grievance Official will submit the report to the appropriate leadership team member and appropriate actions will be taken to ensure appropriate resolution. The resident or representative will be informed on the findings of the investigation and the actions taken to correct the identified problems with in 3 working days of the filing of the grievance. The facility will follow state law in accordance with any reports of abuse and neglect and take appropriate steps to ensure the degree of residents safety. An interview on 09/24/19 01:04 PM with the Administrator confirmed; that the staff was not currently using the grievance form. If a grievance was presented it would be emailed to Staff Member K and then the email would be forwarded to the appropriate department and would be addressed. A reply to the correction would go to the Grievance Officer. The department would follow up with the person who filed the grievance. The facility had 3 days to complete the process and have a resolution for the resident or family. An interview on 09/24/19 02:31 PM with Resident 58 reported that no one had come to discuss the missing item with them and there had been no follow up on the residents missing item. Resident 58 reported the missing item to several people with no resolution. Resident 58 reported there was not a Resident Belonging Tracking document filled out on admission. Interview with the Administrator on 09/24/19 03:05 PM confirmed; that the resolution for the missing item for Resident 58's garment was beyond the 3 day resolution per the facility policy. The Administrator reported that the facility does not call in missing items they just replace them. Record review of Resident Belonging Tracking Procedure dated 1/5/15 revealed; that an inventory sheet would be provided the resident and family to fill out to identify all of the belongings upon admission. The instructions were to complete the inventory sheet in its entirety and sign and date. Include all items, clothing, dentures, glasses, watches, jewelry, picture, etc. All clothing items were to be labeled even if the family intended to launder. It was recommended the Resident bring 5 days worth of items. All clothing needed to be marked or labeled regardless of who did the laundry. The original goes to the UM mail box, a copy will be placed in a 3 ring binder in the labeling room. This facility shall not be liable for the loss of or the damage to personal property, unless it ha been placed on the facilities aforementioned secured area for safe keeping of money and valuables. Plea be aware of this policy and take precautions necessary to protect valuables per homestead personal property and missing property handbook. ' Record review of Resident 58 Resident Belonging Inventory revealed that the inventory document was not filled out. An interview on 09/24/19 02:40 PM with the DON(Director of Nurses) confirmed; that the inventory sheet had not been done and that it was nurses responsibility to complete the document. The DON confirmed that there had been a PIP in place for this and that the Administrator had started this prior to the DON starting. Additional information provided from the facility revealed : a Missing Item Policy not dated, the policy revealed; it was the responsibilty of the nursing home to establish and maintain a written inventoy of residents property, add to teh inventory list upon request, and provide a copy to the resident/resident representative. | 2020-09-01 |