| 87 |
SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC |
405029 |
CALLE 4-L-10 URB COLINAS DEL OESTE |
HORMIGUEROS |
PR |
660 |
2019-03-27 |
679 |
C |
0 |
1 |
PV3411 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification standard survey, interview, observation and eight record review it was determined that the facility failed to ensure that the preferences of each resident and their choice of activities individual activities and independent activities was assess, with an ongoing program to support the physical, mental, and psychosocial well-being of each resident for 8 out of 8 resident (R#51, R#52, R#53, R#54 R#101, R#102, R#103 and R#104 Findings include: 1. Resident # 101 is a [AGE] years old female admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 03/25/19 at 10:00 am during interview with resident state that since arrive to the facility did not participate of any activity. That she entertain with letter soap book and watch television. On 03/26/2019 at 9:05 am during the record review it was found no evidence related to the recreational therapist initial assessment. No evidence was found that the facility developed and implemented an activities plan of care. 2. Resident # 102 is a [AGE] years old male admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 03/26/19 at 9:20 am during interview with resident #102 she state that did not participate of any activity since he arrive. On 03/26/2019 at 9:50 am during the record review it was found that no evidence of the recreational therapist initial assessment was performed. No evidence was found that the facility developed and implemented an activities plan of care. 3. Resident # 103 is a [AGE] years old male admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 03/25/19 at 11:50 am during interview with resident #103 he state that did not participate of any activity since he arrive. No one ask him about his preference for activities. On 03/26/2019 at 10:25 am during the record review it was found that no evidence of the recreational therapist initial assessment was performed. No evidence was found that the facility developed and implemented an activities plan of care. 4. Resident # 104 is a [AGE] years old female admitted to the facility on [DATE] with a [DIAGNOSES REDACTED].#104 she state that since she arrive to the facility none activity she participate and no orientation was provided related to activities schedule. On 03/26/2019 at 10:00 am during the record review it was found that no evidence of the recreational therapist initial assessment was performed. No evidence was found that the facility developed and implemented an activities plan of care. 5. No evidence was found in residents rooms of the activities program schedule. 6. No evidence was found in the recreational area of an schedule of the recreational activities program since (MONTH) 2019. Interview with the administrator employee #3 on 3/25/2019 at 2:10 pm related to the activities program he state that the person in charge of the activities program was the recreational therapist and she was suspended of her job for 39 days. Interview with the Human Research Officer employee #1 on 3/26/2019 at 9:43 am she state that the Recreational Therapist was suspended for 45 days from (MONTH) 20, 2019 through (MONTH) 25, 2019 due to disciplinary measure after multiple disciplinary act for 45 days. The facility was in an intensive recruitment but after Maria Hurricane there was a shortage of professional. 7. The facility did not have a mechanism to cover the recreational therapist since (MONTH) 20, 2019 and did not ensure that the resident be affected due to not available an activities program 8. Resident #51 is a [AGE] years old female who was admitted on [DATE] with [DIAGNOSES REDACTED]. On 03/25/19 at 1:35 pm the resident was interview and she stated that the facility did not provide recreational activities. She stated that received physical and occupational therapy but did not received recreational activities since admission. During initial tour on 3/25/19 at 9:45 am did not observed the weekly or monthly activity program in patient room. On 3/26/19 at 9:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. 9. Resident #52 is a [AGE] years old female who was admitted on [DATE] to received Prosthesis Training of both lower extremities. The clinical record was reviewed on 3/23/16 at 9:00 am and provided evidence that the resident's had history of Amputation of both legs, Diabetes Mellitus, Hypertension and Heart by Pass. The admission plan of treatment was performed and revealed that the initial recreational assessment was not performed by the recreational therapist. During the initial tour performed on 3/25/19 at 9:30 am no evidence of the recreational plan of activities in the resident room. On 03/25/19 03:12 PM During interview the resident stated that the facility did not provide recreational activities. She stated that today is the first physical therapy because she admitted on Saturday 23/2019 and today the physical therapist was performed the initial assessment and she received the first physical therapy however, did not received recreational activities today. 10. Resident #53 is a [AGE] years old female who was admitted on [DATE] with [DIAGNOSES REDACTED]. On 03/25/19 at 2:35 pm the resident was interview and she stated that the facility did not provide recreational activities. She stated that received physical and occupational therapy but did not received recreational activities since admission. During the initial tour on 3/25/19 at 9:45 am the weekly or monthly activity program was not observed in resident's room. On 3/26/19 at 11:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. 11. Resident #54 is a [AGE] years old female who was admitted on [DATE] with [DIAGNOSES REDACTED]. During the initial tour on 3/25/19 at 10:00 am the weekly or monthly activity program was not observed in resident's room. On 3/26/19 at 10:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. On 03/25/19 at 2:35 pm the resident was interview and she stated that the facility did not provide recreational activities. She stated that received physical and occupational therapy but did not received recreational activities since admission. 12. During the initial tour performed on 3/25/19 at 9:15 am from 11:00 am did not observed the weekly or monthly activity program in resident's room. The facility nurse supervisor employee #2 stated that the recreational employee was suspended from her duties for thirty nine days but does not know the reasons for this suspension. On 3/26/19 at 9:00 am the resident record was reviewed and did not have the initial recreational assessment and no evidence of the activity program. The facility Human Resource Officer employee #1 was interviewed on 3/26/19 at 9:43 am and she said that the recreational employee was suspended on (MONTH) 20/2019 per 45 days per disciplinary measures. She said that the facility was on intensive recruitment but after [NAME] Hurricane was a shortage personnel. However, since this moment the facility did not have a plan B to meet the patients' needs of recreational activities as part of its rehabilitation program. In the classroom recreational activities we observed on 3/25/19 during the survey a blackboard where the program of recreational activities is reflected and reflects the month of (MONTH) 2019, in the same activities are observed for only days 16, 17, 21, 22, 23,24,25, 28, 29, 30 and 31. There is no variety in the type of activities and lacks of the hours when the therapist provide this activities. The month of (MONTH) has 31 days however only offer eleven days of activities related to draw, singing, instrumental, meditate, games and aerobics on chair. No evidence was found in the recreational area of an schedule of the recreational activities program since (MONTH) 2019. |
2020-09-01 |