cms_PR: 275
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 275 | CENTRO MEDICO WILMA N VAZQUEZ SNF | 405025 | ROAD 2 KM 39 5 BO ALGARROBO | VEGA BAJA | PR | 693 | 2015-06-18 | 406 | F | 0 | 1 | 1RD011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of policies and procedures, review of medical records with the director of nursing ( employee #5 ) and the quality assurance officer (employee #2 ) , it was determined that the facility failed to provide specialized rehabilitative services required by resident's and accordingly with comprehensive plan of care for 1out of 10 residents (R) of sample selection. (R #2 ) Findings include: 1. A mechanism to ensure that facility had an organized rehabilitative services program that provides personalized care and treatments. With the goal of helping you achieve the highest level of function and independence possible, who focus on physical, emotional, social, and spiritual needs was not performed accordingly with these findings identified during survey procedures on 6/16/15 through 6/18/15: a. Resident #2 is an [AGE] years old female who was admitted on [DATE] with a [DIAGNOSES REDACTED]. During the record review performed on 6/16/15 at 2:00 pm it was found that the physiatrist do not performed the initial evaluation and resident consult and it was found the Treatment plan for Physical Therapist form in blank. During interview with the resident on 6/16/15 at 12:45 pm until 1:45 pm it was reveals that the resident had not been evaluated by the physiatrist. Also the resident had not received a complete physical therapy. Resident stated I did not understand why I am still in bed since I got here. I was operated on Monday from last week and when the hospital transfers me to this facility the doctor told me that I will be available to start physical therapy and start walking with help. Since Saturday the only thing I was doing is transferring to the wheel chair and go to take a bath . Surveyor asked if somebody came to the room and asked if she wants to do something to be entertain and she refers Yesterday the big guy took me out to the dining area and brought some coffee and left me there watching television. I like that because it was something different and he pulled me out of bed . During interview with the assistant physical therapist (employee # 11) on 6/17/15 at 8:30 am it was reveals that they are performing the distribution of residence based on the daily census. They do not ask the resident when they want to start the therapy. Surveyor asks when the resident starts the physical therapist and he indicates the resident start at the moment the physical therapist performed the evaluation and the physiatrist evaluated the resident and give the order. Surveyor asks when the physiatrist comes to the facility and evaluates the new admitted resident and he indicates he comes Monday, Wednesday and Friday. b. Policy and procedures review on 6/17/15 at 9: 00 am indicates that the resident have to be evaluated by the physician or physiatrist before the resident starts the treatment; also is going to start the treatment 24 hours after physiatrist consult is perform. c. The facility failed to ensure the resident receives on time the physician or physiatrist evaluation and answer the consult so the resident can start her treatment on time. | 2018-10-01 |