| 1855 |
PRUITTHEALTH-AIKEN |
425145 |
830 LAURENS STREET NORTH |
AIKEN |
SC |
29801 |
2018-08-30 |
679 |
D |
0 |
1 |
H9EX11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, and staff and resident interviews, the facility failed to provide out of room group activities and on-going activities based on individualized prior interests for 2 of 3 sampled residents reviewed for activities (Residents #18 and #115). The findings included: The facility admitted Resident #18 with [DIAGNOSES REDACTED]. Observations during the first 2 days of the survey revealed the resident was never out of the bed or the room. Review of the 10-19-17 Annual Minimum Data Set (MDS) Assessment on 8/29/18 at 10:57 PM revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating s/he was cognitively intact. Section F of the MDS noted that listening to music and being around animals were activities the resident classified as somewhat important. S/he considered keeping up with the news, going outside, and participation in religious practices to be very important. During an interview at 4:08 PM on 8/29/18, when questioned about activity attendance, Resident #18 stated,I don't get out of bed. When asked if it was his/her choice to not get up and out of the room, s/he stated,No, that is not by my choice. On 8-28-18 at 3:03 PM, the resident stated s/he would like to get up some more, but they leave me up too long and I have pain. S/he stated s/he had not gone to church or outside for a long time. The resident could not remember when s/he had last attended. S/he stated s/he just stays in bed because I don't want to be no trouble. Review of the Care Plan on 8/30/18 at 8:02 AM revealed that the resident wanted to maintain interests as when s/he was at home. Interests included watching TV, listening to music (gospel, easy listening, rhythm and blues), attending church, going outside, hunting, fishing, gardening, and sports. The care plan goal of Will have his (her) interests met daily through next review was not specific and measurable. Interventions included: Assist with TV and music as needed and going outside as weather permits; Inform/invite to activities of interest; Assist to and from and in activities; Visit as needed; Provide magazines about hunting, fishing, sports and gardening. During an interview on 8/28/18 at 3:21 PM, the Activity Director and Assistant stated, The resident does not get up. They stated that nursing used to get more people up. It all depends on the CNA (Certified Nursing Assistant). He (She) used to get up more. Staff does not get him (her) up. The Activity Director copied, reviewed and verified the Care Plan as written. Review of 6/18, 7/18, and 8/18 participation records with the Activity Director revealed that 1:1 activities were provided in the room. There was no participation in group or out of room activities. The documented records did not reflect his/her individual interests as stated during the Activities interview section of the MDS or as stated on the Care Plan. The facility admitted Resident #115 with [DIAGNOSES REDACTED]. Observations throughout the survey revealed the resident never out of the bed or the room. The resident was unresponsive to verbal stimuli. Review of the 5-8-18 Annual MDS Assessment on 8/29/18 at 11:46 AM revealed the resident was totally dependent for all activities of daily living. The staff assessment for activities noted the following as important to the resident: books, newspapers, and magazines, listening to music, keeping up with the news, spending time outdoors and participating in religious activities. Review of the Care Plan on 8/29/18 at 12:08 PM revealed that it did not reflect the staff assessment on the MDS. The resident was noted at risk for social isolation related to medical condition. He (she) is passive. The goal was for Activity staff to visit 1:1 2x weekly through next review. Interventions included: Reinforce attendance at activities events with verbal praise; Activity staff/Social Services to visit as needed; Post activity schedule in patient's room; Provide 1:1 visits, in room activities and supplies for patient for sensory stimulation. During an interview on 8/28/18 at 3:32 PM, the Activity Director and Assistant stated, The resident does not get up. They stated that nursing used to get more people up. It all depends on the CN[NAME] When he (she) was on Unit 3 and 4, he (she) used to get up. Staff does not get him (her) up now. The activity staff noted that the resident had no family visits and that they had never seen anyone. They stated they really knew nothing about the resident except that s/he had worked for the railroad and at a nuclear plant. The Activity Director copied, reviewed and verified the Care Plan as written. Review of 6/18, 7/18, and 8/18 participation records with the Activity Director revealed that 1:1 activities were only provided in the room [ROOM NUMBER]-6 times per month. There were only 2 times during the 3 month period that the resident was noted to be out of the room, sitting in the TV room which did not reflect participation in any type of activity. The 1:1 documentation only noted reading to the resident (not the subject), current events x 2, and listening to music (not the type). There was no other sensory stimulation noted. During an interview on 8/29/18 at 5:07 PM, when asked if Residents #18 and #115 got out of bed, Licensed Practical Nurse #7 stated,Depends on the CNA and nurse that has them. |
2020-09-01 |