cms_OR: 72
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
72 | PROVIDENCE BENEDICTINE NURSING CENTER | 385018 | 540 SOUTH MAIN STREET | MOUNT ANGEL | OR | 97362 | 2018-12-19 | 689 | D | 0 | 1 | NNTH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review it was determined the facility failed to ensure fall prevention care plan interventions were implemented for 1 of 4 sampled residents (#20) reviewed for falls. This placed residents at increased risk for injury. Findings include: Resident 20 was admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. The CAA dated 7/20/18 revealed the resident had the [DIAGNOSES REDACTED]. The resident fell at home before the resident was admitted to the facility and the resident continued to be at risk for falls. Interventions to prevent falls included the resident's bed was to be at transfer height to allow a safe transfer and staff were to encourage the resident to use the call light. The Personalized Bedside Care Plan dated 10/21/18 revealed WHAT KEEPS ME SAFE AND SECURE and indicated the resident had a history of [REDACTED]. On 12/12/18 at 10:19 AM Resident 20 was observed in bed. The resident's walker was not within reach and was approximately six feet from the foot of the bed. On 12/12/18 at 10:41 AM Staff 5 (CNA) indicated at times Resident 20 tried to walk without assistance and did not use the call light to request staff assistance. The resident was able to use the walker and walked short distances. Staff 5 indicated she was not sure if the care plan directed staff to keep the walker near the resident. On 12/12/18 at 10:47 AM Staff 2 (RNCM) indicated at times the resident attempted to self-transfer from the bed to the chair and the current interventions directed staff to keep the walker near the resident. | 2020-09-01 |