cms_OR: 94
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94 | AVAMERE HEALTH SERVICES OF ROGUE VALLEY | 385024 | 625 STEVENS STREET | MEDFORD | OR | 97504 | 2019-06-20 | 725 | E | 1 | 0 | 90J611 | > Based on observation, interview and record review it was determined the facility failed to provide sufficient staffing to meet the needs of residents for 3 of 3 halls reviewed for staffing. This placed residents at risk for unmet needs. Findings include: Resident Council Meeting notes dated 4/24/19 revealed residents concern with long call light wait times. Resident Council Meeting notes dated 5/29/19 revealed residents concern for long call light wait times. A complaint was received on 5/20/19 indicating the facility was short staffed and was difficult to find nursing staff when assistance was needed. a. In an interview on 5/21/19 at 11:06 AM Witness 19 (Complainant) stated he was in the building often to check on Resident 20 and the facility was often short of staff and staff were difficult to find when needing assistance. He stated Resident 20 had to wait longer than 20 minutes before getting her/his brief changed. In an interview on 5/22/19 at 9:31 AM Resident 20 stated she/he had to wait greater than 20 minutes to receive ADL care and sat in wet briefs. The resident indicated she/he needed assistance and could not utilize the toilet due to her/his leg being broken. She/he stated I pay attention to time. During an observation on 5/22/19 at 1:34 PM revealed Resident 20 was asleep in bed, the door was open. At 1:45 PM Staff 45 (CNA) woke the resident and stated she was going to change the resident's brief and get the resident some water. Staff 45 returned with fresh ice water and exited the room. During an observation and interview on 5/22/19 at 2:50 PM Resident 20 stated Staff 45 came into her/his room around 2:00 PM and stated she was going to change the resident's brief, however Staff 45 never came back and I am still in my wet brief. The resident turned on her/his call light at 2:52 PM. The resident stated she/he could wait up to greater than 30 minutes around meal times and shift change to get her/his brief changed and this was very frustrating. At 3:02 PM Staff 46 (CNA) came in answered the call light and changed the resident's brief and reposition the resident. On 6/5/19 at 1:19 PM Staff 11 (RNCM) stated her expectation was for staff to answer call lights timely and indicated if a CNA tells a resident they will be right back for a brief change then this should be prioritized and staff should follow through. On 6/19/19 at 2:38 PM Staff 1 (Administrator) and Staff 2 (DNS) stated that for residents that have incontinence issues they expected staff to check on those residents anytime they are doing rounds and make sure they are clean and dry. Staff 2 further stated Staff 45 who checked on Resident 20 at 1:45 PM should have returned, changed the resident's brief and repositioned the resident. b. On 5/22/19 at 10:43 AM Resident 8 stated she/he to beg to get shaved and to receive oral care. Resident 8 stated she/he had waited for assistance to use the toilet and could not wait any longer and urinated her/himself. On 5/24/19 at 9:43 AM Staff 32 (CMA) stated she worked on all the halls however on 100 hall she often ran behind with her medication pass. She stated they run short of staff regularly and staff called in or did not show up for work. On 5/29/19 at 2:40 PM Staff 48 (LPN) stated they were short staffed a lot, especially CNAs for day shift and night shift. On 5/29/19 at 3:05 PM Staff 8 (CNA) stated she worked on 100 and 200 halls and the facility was understaffed on 5/29/19 with not enough CNA coverage. Call lights were up to a 30 minute wait for residents and she stated I try to give great care. She further stated meal times were difficult because one of the CNAs was pulled from the hall to assist in the dining area and it took away a CNA on the floor to provide ADL care. On 5/31/19 at 10:01 AM Staff 5 (CNA) stated on 5/30/19 the facility mandated an day shift to stay into evening shift to cover to make sure there was enough staff for evening shift but after she left there was only two people for 26 to 27 residents. Staff 5 stated it was very common for residents to complain about long call light wait times. Staff 5 further stated when there was not enough staff residents did not receive their showers and oral care. On 5/31/19 at 1:31 PM Staff 49 (CNA) stated she worked all halls, however the 200 hall was the hardest due to the residents needs on the hall, most were extensive assist with two person assist and use of the Hoyer. She indicated they were always behind and call lights wait times could be up to 15 minutes or longer. On 6/3/19 at 8:03 AM Resident 22 stated there was no sound with the call lights and she/he just turned off her/his call light after 30 minutes of waiting as it upset her/him to wait that long. Resident 22 stated she/he soiled her/himself multiple times when she/he had diarrhea and the staff would not come quick enough. On 6/3/19 at 8:45 AM Staff 17 (CNA) stated she worked on the 100 and 200 hall and various shifts. The 200 hall was very difficult due to the acuity of residents and their ADL care needs. From a safety standpoint it was very challenging. She further stated call lights could take up to 20 minutes or longer to answer. On 6/3/19 at 9:07 AM Staff 5 (CNA) stated she worked swing shift and they were short staffed often. Call light wait times could be up to a 30 minute wait. The 200 hall had high acuity residents with extensive one and two person assist. Many of the residents on the 200 hall required the use of the hoyer and that took additional time because two staff were needed for those transfers. On 6/5/19 at 8:32 AM Staff 25 (CNA) stated the facility was short staffed and she would be assigned to eight or nine residents on day shift. Residents complained about long call lights wait times. Staff 25 also stated she was mandated to work overtime due to the facility being short staffed. On 6/5/19 at 12:05 PM Resident 24 stated she/he waited 45 minutes for a call light to be answered and could wait no longer and ended up using the garbage can to urinate in. Resident 24 stated another instance before going to therapy she/he turned on the call light and when she/he returned from a therapy session the call light was still on. Resident 24 stated she/he waited another 20 minutes after returning to the room for assistance. | 2020-09-01 |