| 78 |
CENTRO MEDICO WILMA N VAZQUEZ SNF |
405025 |
ROAD 2 KM 39 5 BO ALGARROBO |
VEGA BAJA |
PR |
693 |
2017-05-25 |
406 |
E |
0 |
1 |
V2HC11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Base on a recertification FOSS survey, eight resident record reviewed and interviews it was determined that the facility failed to ensure that resident received the required Occupational Therapy (OT) services accordance to resident plan of care this affected 4 out of 8 resident (R) (R#2, #3, #4 and #5) Findings include: 1. Resident #3 is a [AGE] years old male admitted on [DATE] with a [DIAGNOSES REDACTED]. During the record review performed on 5/22/17 at 3:13 pm it was found that the OT performed the OT Functional Assessment on 5/15/17 at 8:12 am, then provide services on 5/15/17 at 3:06 pm, on 5/16/17 at 2:51 pm, on 5/17/17 at 2:54 pm, on 5/18/17 at 3:46 pm, on 5/19/17 at 3:47 pm. No evidence was found that the OT provide OT services on 5/22/17 and on 5/23/17. The patient physiatrist recommendation was OT 5 intervention by weeks. OT failed to provide services accordance to physiatrist recommendation and resident plan of care. 2. Resident #4 is a [AGE] years old male admitted on [DATE] with a [DIAGNOSES REDACTED]. During the record review performed on 5/23/17 at 3:32 pm it was found that the OT performed the OT Functional Assessment on 5/12/17 at 9:13 am, then provide services on 5/12/17 at 2:36 pm, on 5/15/17 at 3:02 pm, on 5/17/17 at 3:28 pm, on 5/18/17 at 3:38 pm, on 5/19/17 at 3:40 pm. No evidence was found that the OT provide OT services on 5/16/17 and on 5/22/17. The patient physiatrist recommendation was OT 5 intervention by weeks. OT failed to provide services accordance to physiatrist recommendation and resident plan of care. 3. Resident #5 is an [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. On 5/7/17 the Material Data Sheet (MDS) was reevaluated and continue with OT services on 5/8/17, on 5/10/17, on 5/12/17, on 5/15/17, on 5/17/17, on 5/19/17, on 5/22/17. No evidence was found that the OT provide OT services on 5/9/17, 5/11/17, 5/16/17, 5/18/17, 5/23/17 and on 5/24/17. The OT documented on 5/10/17, 5/12/17, 5/17/17, 5/19/17, 5/24/17 that services was not provide yesterdays. The patient physiatrist recommendation was OT 5 intervention by weeks. OT failed to provide services accordance to physiatrist recommendation and resident plan of care. Interview performed on 5/23/17 at 1:50 pm with the medical director (employee # 6) stated I do not know that the resident did not receive the OT services accordance to resident plan of care. I do not know if Human resources authorized or not another OT personnel. The OT personnel did not request to me an assistant or another OT personnel to provide service to all resident. The human resource did not inform to me the need to have another OT personnel so the services not be affected. Interview performed on 5/23/17 at 1:50 pm with the Administrator (employee # 7) stated: the OT did not notified that need another OT personnel to cover all resident treatment. The OT do not concern me. There are communication failure. Interview performed on 5/23/17 at 3:00 pm with the Therapy department supervisor (employee #8) stated: I was contracted on 4/25/17. I performed a meeting with the therapist personal (occupational (OT) physical (PT) and recreational therapist (RT)). I separated the OT and PT discipline rooms. OT service is to be performed 5 days a week. This situation have many years that the OT services have only one personnel to cover all residents. I am verifying if the administration recruit an OT assistant but it has become difficult to recruit staff. I have made direct approaches with the medical director employee #6 and he has given me the support along with Human Resources and given me authorization to interview candidates for OT services. On 8/8/16 I informed the administration (medical director and Human Resources) of the need for OT for the high censuses, the extensive documentation that the OT must carry out. I have spoken directly with the medical director employee #6 since she is the one whom I respond to as therapist supervisor. I interview a person who has the credentials and the training to occupy the position of OT, but the last information that was offered to me by human resources was to continue looking for other candidates. Interview performed on 5/23/17 at 3:30 pm with the SNF supervisor (employee #9) state: I am the SNF supervisor since (MONTH) (YEAR). I did not know that the OT personal did not offer the services to all residents admitted 5 days a weeks and that the residents OT services was affected. With a Census of 13 or greater was impossible to give OT services to all resident with only one OT personnel. She has too much work on charge. She referred to me the need of a laptop to documented in residents room and not make double work writing in paper to then documented in the computer. 4. Resident #2 is an [AGE] years old female admitted on [DATE] with a [DIAGNOSES REDACTED]. During the record review performed on 5/23/17 at 11:00 a. m. it was found that the OT performed the OT Functional Assessment on 5/16/17. The Material Data Sheet (MDS) revealed that the resident initiated the OT services on 5/6/17, on 5/17/17, on 5/18/17 and 5/22/17. No evidence was found that the OT provide OT services on 5/19/17. The OT documented on 5/19/17 that services was not provide on this day. The patient physiatrist recommendation was OT 5 interventions per week. OT failed to provide services accordance to physiatrist recommendation and resident plan of care. |
2020-09-01 |