| 10246 |
SPRINGDALE HEALTHCARE CENTER |
425169 |
146 BATTLESHIP ROAD |
CAMDEN |
SC |
29020 |
2010-10-27 |
166 |
D |
|
|
K6DC11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the complaint inspection, based on record review, interview, and review of the policy provided by the facility entitled "Grievances & Complaints", the facility failed to actively work towards resolution of a complaint/grievance for one of one sampled residents with a grievance. Family member concerns regarding the care of Resident #4 were not addressed by the facility. The findings included: The facility admitted Resident #4 on 6/18/10 and readmitted the resident on 7/28/10 with [DIAGNOSES REDACTED]. A complaint faxed to DHEC (Department of Health and Environmental Control) Certification was reviewed on 10/26/10 prior to the survey. The complaint included a letter dated 7/29/10 addressed to the Admissions Director and Marketing Director of Springdale Health Care Center. It contained the following: "Gentlemen: (Resident #4) is back at Springdale, as you know, and I'd like to review with you the matters regarding her care that we discussed recently. (Marketing Director) informed us that she would be placed on the "100" wing/hall with different nurses/staff caring for her. (Admissions Director) addressed personally taking care of/supervising her wound care, including the "wound vac". To prevent dehydration, her feeding tube is to be flushed multiple times daily. Insuring that the feeding tube area remains clean. Monitoring excessive therapy (exercise) on her left arm. To make sure that she isn't sitting on the affected area for prolonged periods, and that she is turned on a regular basis. That someone communicates with Dr. --, myself and/or my (other family member) for any change in her condition or care. FYI, her home caregiver --, will continue to make regular visitations with (Resident #4). I am optimistic that the "situation" that occurred last week has been resolved, corrected, and that (Resident #4's) care will be the best that Springdale has to offer. Please contact me immediately if any of the foregoing is incorrect or misunderstood. Thank You..." During an interview on 10/27/10 at 2:20 PM, the Director of Nursing (DON) stated she had received a copy of the above letter but didn't remember the date it had been received. When asked if any of the concerns regarding the resident's care had been investigated, she stated that there was nothing to investigate, that the family wanted the resident moved and she had been moved. When asked if (the Admissions Director) was personally taking care of or supervising the wound care/wound vac for Resident #4, she stated that he was the Admissions Nurse and ordered medical supplies but did not personally take care of or supervise wound care. When asked, she stated that no one in particular is supervising the resident's feeding tube flushes or site care, but that the nursing staff ensures this is done. According to the DON, therapy manages the left arm exercises, and all staff routinely make sure residents are not sitting in one spot for prolonged periods and ensure that residents are turned. The DON stated these concerns were not addressed with particular staff for this resident, and that no inservices or instruction had been given to the staff because of the letter. When asked if the family member's concern regarding notifying the physician, herself, or her (other family member) had been addressed with staff caring for the resident she said no. During an interview on 10/27/10 at 2:35 PM, Social Worker #1 was asked about the above letter. She stated she had not been aware of the letter but had spoken with the family member on 9/21/10 when the family member called. She stated that the family member had concerns with odors and flies in the resident's room and wanted the resident moved to a room without carpet. She stated at the time of the call, the family member had stated that she thought the resident was going to be moved to Hall 100. According to the Social Worker, the resident was moved when a room became available. Review of a note written by the Social Worker on 9/21/10 revealed "...Family requested for patient to be placed in a room that has tile flooring. Family informed that one is not available at this time. However, when one becomes available family will be notified and offered the room change". Review of Interdisciplinary Progress Notes revealed Resident #4 was readmitted on [DATE] to room [ROOM NUMBER]B, and that she was moved to room [ROOM NUMBER]B on 10/12/10. During an interview on 10/27/10 at 1:40 PM, the Rehab (imitation) Director stated no one had said anything to her about Resident #4's therapy on her left arm being excessive. When asked if she had been the person they would have told about the complaint she stated that she was. Review of the policy provided by the facility entitled "Grievances & Complaints" dated April 2005 revealed under 'Policy', "To support each resident's right to voice grievances and to ensure that after a grievance has been received, the facility will actively resolve the issue and communicate the resolution's progress to the resident and/or resident's family in a timely manner". Under 'Fundamental Information', the policy stated that the Administrator was responsible for "Resolving all grievances and/or complaints; and Coordinating compliance at the Facility with this policy..."It went on to state that "Any resident, his or her representative, family member...may file a grievance or complaint...All grievances and complaints are investigated, resolved, and documented". Under 'Procedure', "2. Grievances and complaints may be submitted orally or in writing...(If a grievance is submitted orally, the facility employee taking the grievance must write it up on the report form), 3. The written grievance is to be forwarded to the facility's Administrator within 24 hours of receipt, 4. Upon receipt of a written grievance and/or complaint, the Administrator will refer it to the appropriate department head for investigation, 5. The department head will submit a written report of such findings to the Administrator within 3 working days of receiving the grievance and/or complaint. The investigation and report should be completed using a Grievance/Complaint Report", 6. The Administrator will review the finding with the person investigating the complaint to determine what corrective actions and resolutions need to be made..." |
2014-02-01 |