cms_NE: 6728
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6728 | ASHLAND CARE CENTER | 285140 | 1700 FURNAS STREET | ASHLAND | NE | 68003 | 2015-10-20 | 226 | E | 1 | 0 | 4N8U11 | Licensure Reference Number: 175 NAC 12-006.02(8) Based on record review and interview, the facility failed to report allegations of verbal abuse to the state agencies as required for 11 unidentified resident council attendees and two identified residents (Resident 6 and 8). The facility census was 74. Findings are: A. Review of the facility's Abuse Prohibition and Prevention Program dated 10/10/08 revealed, Verbal Abuse: Any use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance, regardless of their age, ability to comprehend or disability. Examples of verbal abuse include, but are not limited to threats of harm; saying things to frighten a resident, or conversation that would make the resident uncomfortable Any allegations involving mistreatment, neglect or abuse will be immediately reported to the Executive Director and appropriate state enforcement/regulatory agencies. B. Interview with Resident 6 on 10/8/15 at 4:40 PM revealed staff had referred to (Resident 6) using profanity and name calling. Resident 6 further revealed that both the Administrator and the Director of Nursing (DON) had been made aware of the incident. Review of a grievance dated 5/29/15 by Resident 6 revealed Resident 6 did report that staff were saying unsavory names about residents. Review of the Follow-up/Resolution revealed staff will be educated on 6/2/15 regarding these concerns. Review of the facility's Complaints/Grievance Procedure policy dated 1/1/01 revealed any grievance involving abuse should be immediately reported to the appropriate state agency. Review of the facility's internal abuse investigations revealed no investigation or report had been filed related to grievance filed by Resident 6. C. Interview with Resident 8 on 10/8/15 at 10:14 AM revealed a staff member here had insulted (Resident 8) a couple of times and (Resident 8) had reported it to both the SSD (Social Service Director) and the Administrator. Resident 8 stated the last incident occurred about three weeks prior. Interview with the SSD on 8/10/15 at 10:00 AM revealed the facility had not had any complaints that were considered abuse allegations or conducted any abuse investigations since (MONTH) (2015). D. Review of the minutes from the Resident Council Meetings revealed the residents made the following statements: - 9/25/15: Nursing Assistants (NA) had bad attitudes, used foul language, had a poor approach to residents, used poor tones, played favorites and that it had Not Improved. - 8/27/15: Inappropriate language being used by staff. - 7/30/15: One resident overheard a staff member state, stop whining and bi_____. - 6/20/15: Staff shouldn't talk about other residents when they are with in ear shot. - 5/28/15: One resident overheard other residents be called unsavory names. - 4/30/15: One resident said they heard a nurse say, I went to school so I wouldn't have to do this regarding cleaning up BM (Bowel Movement). E. Interview with the SSD on 10/8/15 at 3:36 PM revealed the SSD had attended the June, (MONTH) and (MONTH) Resident Council Meeting and the Activity Director (AD) attended in September. The SSD further stated the department directors were notified of the residents' complaints so they could be acted upon. Interview with the facility Administrator on 10/8/15 at 3:45 PM revealed that one staff member had been counseled on inappropriate language with residents and that it had improved. The administrator went on to confirm the allegations had not been reported to the state agencies as required. | 2018-10-01 |