| 87 |
LAS VEGAS POST ACUTE & REHABILITATION |
295006 |
2832 S. MARYLAND PARKWAY |
LAS VEGAS |
NV |
89109 |
2018-05-11 |
679 |
D |
0 |
1 |
QB3511 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, record review and document review, the facility provided inaccurate documentation related to activities for 1 out of 18 sampled residents (Resident #11). Resident #11 Resident #11 was admitted on [DATE], with [DIAGNOSES REDACTED]. On 05/10/18 at 8:07 AM, the resident was asleep in bed. On 05/10/18 at 8:10 AM, the Certified Nursing Assistant (CNA) indicated the resident was bed-bound, non-verbal and required extensive assistance with all activities of daily living (ADL's). On 05/10/18 at 1:30 PM, the resident was asleep in bed. On 05/10/18 at 2:45 PM, the resident's eyes were open but did not respond to simple questions answerable by yes or no. On 05/10/18 at 3:40 PM, the resident's eyes were open but did not respond to simple questions answerable by yes or no. On 05/11/18 at 8:30 AM, the Medication Nurse indicated the resident remained in bed at all times and daily activities were limited to passive range of motion (PROM) exercises performed by the Restorative Nursing Assistant (RNA), as ordered. The Medication Nurse indicated the resident was non-verbal and was unable to signify a Yes response by nodding or signify a No response by turning head from side to side. On 05/11/18 at 10:00 AM, the resident's eyes were open but did not respond to simple questions answerable by yes or no. Section B0600 (Speech Clarity) of the resident's Minimum Data Set ((MDS) dated [DATE], documented resident's speech as no speech-absence of spoken words. Section G0110 (Functional Status-ADL's) of the MDS dated [DATE], documented the resident was totally dependent for ADL's. A physician's orders [REDACTED]. The Activity Attendance Record and Response Record for the months of (MONTH) (YEAR), (MONTH) (YEAR) and (MONTH) (YEAR) and the Individual Patient Daily Group Activity for (MONTH) (YEAR) had the following entries : - The resident refused a puzzle activity on 01/06/18. - The resident refused Bingo on 01/06/18, 01/08/18, 01/13/18, 01/15/18, 01/22/18, 01/29/18, 02/05/18, 03/26/18, 03/28/18, 03/30/18, 04/01/18, 04/02/18, 04/04/18, 04/06/18, 04/07/18, 04/08/18, 04/11/18, 04/13/18, 04/14/18, 04/15/18, 04/16/18, 04/17/18, 04/18/18, 04/20/18, 04/21/18, 04/22/18, 04/24/18, 04/26/18, 04/27/18, 04/28/18, 04/29/18, 04/30/18. -The resident refused manicures on 04/09/18 and 04/11/18. On 05/10/18 at 4:00 PM, the Activities Director indicated the resident responded to the Activity Assistant with a yes or no. The Activities Director verbalized the Activity Assistant was not at the facility and would be unavailable for interview. On 05/11/18 at 2:30 PM, the Activities Director acknowledged activities documented for the resident were inaccurate and unrealistic. The Activities Director indicated the Activity Assistants needed more training on documenting residents activities. |
2020-09-01 |