cms_NE: 85
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 85 | AZRIA HEALTH MONTCLAIR | 285054 | 2525 SOUTH 135TH AVENUE | OMAHA | NE | 68144 | 2017-06-06 | 315 | D | 0 | 1 | LLQX11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number 175 NAC 12-006.09D3 Based on observations, interviews, and record reviews; the facility failed to evaluate incontinence and implement a toileting program for 1 resident (Resident 119) of 3 residents sampled. The facility identified the census at 128. The findings are: A review of Resident 119's Admission Record dated 6-5-2017 revealed Resident 119 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. An observation conducted on 5/31/17 at 10:37 AM of Resident 119's bathroom revealed a urine odor in the bathroom with puddles of liquid that resembled urine on the floor surrounding the toilet. An observation conducted on 5/31/17 at 2:17 PM revealed Resident 119 had a urine odor about them. An observation conducted on 6/5/17 at 7:31 AM revealed Resident 119 sitting on the side of the bed with a urine odor about them. Resident 119's bathroom was observed to have a urine odor, puddles of liquid that resembled urine surrounding the toilet, and a sticky floor. An interview conducted on 6/5/17 at 12:32 PM with Nursing Assistant (NA) C revealed that Resident 119 was independent with dressing, toileting, and hygiene. NA C reported that Resident 119 was occasionally incontinent of urine and would turn on their call light when they needed a new incontinence brief. NA C also reported that the resident would often miss the toilet when urinating. An observation conducted on 6/5/17 at 3:38 PM of Resident 119's bathroom revealed a urine odor and a sticky floor. An observation conducted on 6/6/17 at 9:44 AM revealed Resident 119 sitting in their recliner with a urine odor about them. Resident 119's bathroom was observed to have a puddle that resembled urine on the floor next to the toilet. A review of Resident 119's Comprehensive Care Plans dated 11/23/15 and 2/7/17 revealed that Resident 119 was occasionally incontinent of urine and nursing staff were to complete an Incontinence Data Collection Tool quarterly and as needed. A review of Resident 119's medical record revealed a Quarterly Data Collection Tool dated 6/3/16 that indicated Resident was continent and was not on a bladder retraining program. A review of Resident 119's medical record revealed a Quarterly Data Collection Tool dated 11/3/16 that indicated Resident was usually incontinent and was not on a bladder retraining program. A review of Resident 119's Annual Minimum Data Set (MDS: A federally mandated comprehensive assessment tool used for care planning) dated 11/17/16 revealed that Resident 119 was occasionally incontinent of urine and was not on a toileting plan. A review of the facility's Urinary Incontinence-Clinical Protocol dated (MONTH) 2013 Monitoring: 1. The staff and physician will review the progress of individuals with impaired continence until continence is restored or improved as much as possible, or it is identified that further improvement is unlikely. a. This should include documentation of a resident's responses to attempted interventions such as scheduled toileting, prompted voiding, or medications to treat incontinence. An interview conducted on 6/5/17 at 3:49 PM with the Director of Nursing (DON) revealed the expectation was that incontinence was to be evaluated at onset for medical or physical cause of incontinence. An interview conducted on 6/6/17 at 8:55 AM with The DON revealed that the Quarterly Data Collection Tool was the only tool that the facility used to evaluate incontinence on a quarterly basis. The DON reported they were not sure if there were any completed on Resident 119 since (MONTH) (YEAR). An interview conducted on 6/6/17 at 10:27 AM with the DON revealed that their was not a quarterly evaluation completed on Resident 119 since (MONTH) (YEAR) and they were not sure when or why the tool was not being completed. The DON reported the facility's system for the evaluation and treatment of [REDACTED]. | 2020-09-01 |