| 43 |
APPLE REHAB WATCH HILL |
415015 |
79 WATCH HILL ROAD |
WESTERLY |
RI |
2891 |
2019-10-04 |
677 |
E |
1 |
1 |
II8Y11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, resident interview, and staff interview, it has been determined that the facility failed to provide the necessary services to maintain good personal hygiene, for residents who are unable to carry out activities of daily living, relative to showers for 5 of 15 residents who participated in the Resident Council meeting (ID#s 4, 7, 13, 25, and 32). Findings are as follows: During the Resident Council meeting with the surveyor on 10/2/2019 at approximately 1:30 PM, ID#s 4, 7, 13, 25, and 32 revealed that they do not get showers regularly. Furthermore, they indicated that they are supposed to receive a shower weekly; however, they sometimes need to wait two to three weeks. Review of the Resident Council Meeting minutes from (MONTH) 29, 2019 and (MONTH) 19, 2019 revealed the following: - July: Residents are concerned they are not being cared for properly. They are not getting showered regularly - August: Residents are concerned they are not getting their scheduled showers During a surveyor interview with the Activities Director on 10/4/2019 at 1:02 PM, she revealed that residents have been complaining for months about not getting showers regularly. Review of the residents' records revealed the following: 1. Record review revealed that Resident ID #4 was admitted to the facility on [DATE]. The resident's quarterly Minimum Data Set (MDS), dated [DATE], revealed the resident has a Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating that they are cognitively intact. Further review revealed that the resident requires physical help of one person for bathing. The resident's annual MDS, dated [DATE], revealed that it is very important to him/her to choose between a tub bath, shower, bed bath or sponge bath. Review of the care plan, initiated on 10/6/2016, revealed that s/he prefers a shower over a bath. Review of the Nursing Assistant's documentation related to shower/baths from 9/3/2019 to 10/3/2019 revealed that the resident last had a shower on 9/19/2019 (approximately 2 weeks without a shower). During an additional surveyor interview with the resident on 10/3/2019 at 11:41 AM, s/he indicated that it is important that s/he has a shower and that it makes him/her feel better. 2. Record review revealed that Resident ID #7 was admitted to the facility on [DATE]. The resident's quarterly MDS, dated [DATE], revealed a BIMS score of 15 out of 15, indicating that they are cognitively intact. Further review revealed that the resident requires physical help of one person for transfer into shower. The resident's annual MDS, dated [DATE], revealed that it is very important to him/her to choose between a tub bath, shower, bed bath or sponge bath. Review of the Nursing Assistant's documentation related to shower/baths from 9/3/2019 to 10/3/2019 revealed that the resident last had a shower on 9/19/2019 (approximately 2 weeks without a shower). 3. Resident ID #13 was admitted to the facility on [DATE]. The resident's quarterly MDS, dated [DATE], revealed a BIMS score of 14 out of 15, indicating that they are cognitively intact. Further review revealed that the resident requires total dependence with a two or more-person physical assist for bathing. The resident's annual MDS, dated [DATE], revealed that it is very important to him/her to choose between a tub bath, shower, bed bath or sponge bath. Review of the care plan, initiated on 4/21/2017, indicates Offer to assist me to shower. Review of the Nursing Assistant's documentation related to shower/baths from 9/3/2019 to 10/3/2019 revealed that the resident did not receive a shower from 9/3/2019 (or prior) until 9/28/2019 (more than 3 weeks without a shower). During a surveyor interview with the resident on 10/3/2019 at 11:40 AM, s/he indicated that s/he would like to have a shower at least once per week and that s/he feels cleaner after having a shower. Furthermore, the resident revealed that they have assigned shower days; however, staff will say there is not enough help. 4. Resident ID #25 was admitted to the facility on [DATE]. The resident's quarterly MDS, dated [DATE], reveals a BIMS score of 10 out of 15, indicating moderate cognitive impairment. Further review revealed that the resident requires total dependence with a two or more-person physical assist for bathing. The resident's annual MDS, dated [DATE], revealed that it is very important to him/her to choose between a tub bath, shower, bed bath or sponge bath. Review of the care plan, initiated on 1/22/2019, indicates I require assistance with my ADL's (Activities of Daily Living) . Review of the Nursing Assistant's documentation related to shower/baths from 9/3/2019 to 10/3/2019 revealed that the resident received a shower on 9/8/2019 and 9/28/2019. There is no evidence that the resident received a shower in-between this time (approximately 3 weeks). 5. Resident ID #32 was admitted to the facility on [DATE]. The resident's quarterly MDS, dated [DATE], revealed a BIMS score of 15 out of 15, indicating that they are cognitively intact. Further review revealed that the resident requires physical help of one person for bathing. The resident's annual MDS, dated [DATE], revealed that it is very important to him/her to choose between a tub bath, shower, bed bath or sponge bath. Review of the care plan, initiated on 6/20/2016, indicates I require assist of one with my bathing activities .I prefer a shower to a bath . Review of the Nursing Assistant's documentation related to shower/baths from 9/3/2019 to 10/3/2019 revealed that the resident last received a shower on 9/19/2019 (approximately 2 weeks since last shower). During subsequent surveyor interviews with Nursing Assistants G, H, and I on 10/3/2019 at 3:44 PM, 4:32 PM, and 4:38 PM, they revealed that residents, at times, go weeks without having a shower. During a surveyor interview with the Administrator on 10/4/2019 at 1:41 PM, she was unable to provide evidence that residents were offered showers weekly. |
2020-09-01 |