cms_NE: 6028
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6028 | ROCK COUNTY HOSPITAL LONG TERM CARE | 2.8e+279 | 100 EAST SOUTH STREET | BASSETT | NE | 68714 | 2016-12-14 | 280 | E | 0 | 1 | K1OV11 | LICENSURE REFERENCE NUMBER 175 NAC 12-006.09C1b Based on record review and interview; the facility failed to revise the Care Plan for 1 sampled resident (Resident 26) related to fall prevention interventions. The sample size was 23 and the facility census was 28. Findings are: Review of Resident 26's Progress Notes dated 6/3/16 at 4:20 AM revealed the resident was sleeping on the edge of the bed and rolled off, landing on knees. Review of Resident 26's current Care Plan (undated) revealed a Temporary Problem List dated 6/13/16 which indicated the resident rolled out of bed and interventions were to remind the resident to call for assistance and the bed was placed in the low position. Review of Resident 26's Progress Notes dated 10/13/16 at 5:21 AM revealed the resident slid out of bed. Documentation further indicated the bed was in the lowest position and the call light was in reach. The resident was reminded to call for assistance. There was no evidence potential causal factors were assessed and additional interventions for the prevention of falls were not developed. Interview with the Director of Nurses on 12/14/16 at 1:15 PM confirmed Resident 26's Care Plan was not revised to address additional interventions to prevent the resident from falling out of bed. | 2019-07-01 |