cms_PR: 49
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 49 | DAMAS HOSPITAL SNF | 405023 | 2213 PONCE BY PASS | PONCE | PR | 717 | 2017-05-25 | 241 | E | 1 | 1 | NJQB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on a recertification extended FOSS survey and complaint investigation PR 598, record review, facility's grievance report, and observations during ulcer care with the Register Nurse (RN) (employee #10) and investigation of 2 complaint performed by 2 residents with the Administrative Supervisor (Employee #3) performed on 5/22, 5/23, 5/24, and 5/25/17, it was determine that the facility failed to ensure that residents are treated with respect and dignity during delivery of nursing care, for 2 out of 13 residents (Resident #4 and #6). Findings include: 1. Resident #6 is a [AGE] years old male admitted on [DATE] with a [DIAGNOSES REDACTED]. The resident #6 was discharge home on 5/18/17 at 12:50 pm. The close record review was performed on 5/25/17 at 2:00 pm. 2. During review of the compliant investigation performed on 5/24/17 at 10:30 am provides evidence that on 4/6/17 the Resident #6 filled a grievance. 3. During review of the facility compliant report provided evidence that the resident #6 referred that when the RN (Employee #11) went to room [ROOM NUMBER]A on 4/6/17 at 1:35 am she stated: I will not come back until 4:00 am. 4. During review of the facility compliant report provided evidence that the resident #6 referred that when the practical nurse (LPN) (Employee #12) went to room [ROOM NUMBER]A on 4/6/17 at 1:35 she stated: you only came to this facility for physical therapy and nothing more. During telephone interview with the resident #6 on 5/31/17 at 9:52 am, he referred: Those two comments made me feel like if I am annoying them and unwelcome. 5. The resident #6 referred on the grievance report that during 1:35 am thru 4:00am he called the nursing staff on multiple occasions because his bed position had cause him to have pain in the sacral ulcer area, and that produced repeated vomit episodes. 6. During review of the facility compliant investigation report performed on 5/24/17 at 10:30 am, the interview of the resident #6's wife provided evidence that the resident #6 called her for assistance, and that she came to the facility on [DATE] at 4:30 am. She referred on the report that she found her husband lying in bed with disorganized sheets and without pillow, and that the resident #6 was dirty with vomits that she cleaned without nursing assistance. 7. During review of the facility compliant report performed on 5/24/17 at 10:30 am provides evidence that the resident #8 and he's wife were witness that the resident #6 was calling the nursing staff because of the pain and that they heard him vomiting constantly. They referred that they did not hear the nursing staff entered to the room to take care of the resident, they only heard the patient's calls for help and assistance. 8. During review of the Minimum Data Set (MDS) report of 4/4/17 on section G0110. Activities of Daily Living (ADL) Assistance on 5/25/17 at 3:12 pm provides evidence that the resident #6 is total dependent on bed mobility and that includes how resident moves to and from lying position, turns side to side, and positions body while in bed or alternate sleep furniture. The resident #6 needs full staff performance every time in bed mobility, one personal physical assist. The facility failed to ensure that residents are treated with respect and dignity during delivery of nursing care. 9. A mechanism to ensure that residents are treated with respect and dignity during delivery of nursing care related to knocking the door before entrance to the resident room. a. During the observation of ulcer care on 5/24/17 at 10:37 am with the RN (Employee #10) on room [ROOM NUMBER]A it was observed that the RN (employee #10) entered to the resident #4 room without knocking the door and requesting permission to enter. The facility failed to ensure that residents are treated with respect and dignity during delivery of nursing care. | 2020-09-01 |