cms_SC: 63
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 63 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2017-06-14 | 248 | D | 0 | 1 | J20Y11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interviews, the facility failed to provide an individualized program for activities for 1 Resident, #110, of 1 resident reviewed for activities, by not providing activities of interest, or stimulation throughout the day. Findings include: Record review of History and Physical for Resident #110 dated 09/14/16 (from previous facility/hospital), revealed, Past Medical History: 1. [MEDICAL CONDITION] of the liver secondary to [MEDICAL CONDITION], 2. [MEDICAL CONDITION] 3. [MEDICAL CONDITION] infection, 4. Chronic pancreatitis, 5. [MEDICAL CONDITION] brain history with persistent [MEDICAL CONDITION], 6. Hepatic [MEDICAL CONDITION], 7. Recurrent [MEDICAL CONDITION], 8. Dysphagia, status [REDACTED].Review of Systems: Unable to obtain accurate review of systems as patient currently is alert and oriented X 0 with persistent [MEDICAL CONDITION] . Record review of Activities Progress Notes for Resident #110 dated 3/28/17 revealed the resident was new to the facility .Her family stated, she likes to listen to music, go outside, and being around people but she didn't attend church . Record review of the Care Plan for Resident #110 dated 03/28/17 revealed, Resident #110 is new to the facility and will be oriented and introduce to all the department managers and their departments. Her family states she likes to go outside and being around people, but she didn't attend church .Goal: Resident will express(verbally or showing signs of satisfaction with daily routine and leisure activities, in room and out of room activities. The staff were to involve the resident with those who have shared interest e.g. men/women's group, social parties, spiritual related, movies, and music, reminiscing and special events and to offer individualized care based on customary routine to keep them safe, stimulated and involved. Record review of Minimal Data Set (MDS) for Resident #110 dated 03/28/17 revealed, Section F Preferences for Customary Routine and Activities .The following boxes are checked: Family or significant other involvement for care decisions, Listening to music, Doing things with groups of people, spending time outdoors .Section G Functional Status indicates that the resident is dependent in all areas of care. Record review of CAA Summary Report for Resident #110 dated 03/31/15 revealed under communication the resident is non-verbal due to illness. Factors to include in care plan sensory deprivation, social isolation, mood/behavior disorder and has problems making self understood. Develop an individual care plan to help stimulate his/her cognitive, creative, social/converse/communication, independent, empowerment, sensory stimulation, spiritual and physical well being. On 04/11/17 at the following times, during observations, Resident # 110 was found in her bed, alone, facing the wall away from her roommates and the door with no music or television: 04/11/17 at 8:40 AM, 10:17 AM, 11:03 AM, 12:27 PM, 1:32 PM, 2:29 PM, and 3:06 PM, 4:54 PM, and 5:17 PM. On 04/12/17 at 7:42 AM and 8:44 AM during observations, she was in her bed, facing the wall away from her roommates and the door with no music or television. On 04/12/17 during the following times, she was up in her chair in her room, alone: 10:39 AM, 1:19 PM, and 2:40 PM. On 04/12/17 at 3:37 PM during an interview Licensed Practical Nurse Staff #66, when asked if there is any reason that Resident #110 doesn't come out of her room, she stated, She comes out during meals. When asked if she comes out for all meals, she confirmed that she did. When asked why she had not been out for the past two meals observed by this surveyor, she confirmed that she should have been out and that she had not been. She stated, She isn't supposed to be around them other residents when they are eating because its a dignity issue. On 04/12/17 at 4:39 PM during an interview with the Assistant Director of Nursing Staff #3, when asked how many people worked in activities, she confirmed there are three, but before they got the third person, there were only two. When asked if three people doing the activities for that building was enough, she confirmed that it is not. When asked if they work seven days per week, she stated that she did not think so. When asked if there were any residents that could not get up for activities on the A/B Hall, she confirmed that there isn't. She stated, They (A/B hall) don't really have activities back there, so they have to come up to the front. When asked if there is any reason why staff cannot take Resident #110 out of the room, she stated, They would have to make sure it is ok with the nurse, as well as activities. On 04/12/17 at 3:24 PM during an interview with the Activities Director Staff #9, when asked if an individual can't get to activities by themselves, what is offered to them, she stated, We go in their rooms, ask them what they want to do and they may want to listen to music or watch TV. We have other residents that are bed ridden, and we have 1:1 (one on one individual activities) two times a week. We do some type of stimulation like hand massage, head massage, or some type of stimulation. When asked how activities knows what the resident preferences are if they are unable to voice them, she stated, When asked if they had a meeting with Resident #110's family about preferences, she confirmed that they had and stated, When we spoke to her father, he told me that she liked to listen to music, and she never attended church services. We sometimes come in with our phone or a radio and play some music for a short period of time. Sometimes she will open her eyes and move her body so we know she knows someone is with her. When asked if there is anywhere to take people if they want to go outside, or if they want to watch TV outside of their room, she stated, With the structure of out facility, we have most of our activities in the dining room. When asked if Resident #110 comes out of her room, she confirmed that she does not. When asked if the staff was able to take her to watch TV somewhere else besides her room, she confirmed that they could. When asked if the CNA's (Certified Nurse's Assistant) could get her up to have activities somewhere else besides her room, she confirmed that they could. When asked why she stays in her room if she has the opportunity to leave it, she stated, I don't know, that would be up to the nurse, and they would tell the CN[NAME] On 04/13/17 at 7:44 AM during an interview with the Interim Administrator Staff # 23 When asked if there is any reason someone wouldn't be taken out of their room sometime during the day to work with activities, or to be provided stimulation, she confirmed that there is no reason that should happen. When asked if one day of 1:1 activities per week was enough for someone that is totally dependent, and cannot express their concerns, she stated, It needs to be more often. When asked who brings the residents to activities, she confirmed that activities does that. When asked if activities is unable to get someone up, who gets the residents to activities, she confirmed that the CNAs should help get them up. On 04/13/17 at 8:17 AM, during an interview with Unit Manager Staff #45, she was brought to Resident #110's room and asked if there is a reason she is facing the wall or why she doesn't come out of her room, she stated confirmed that she did not know. She stated, In her 72 hour meeting, her dad stated that she likes to watch TV, so maybe that is why (The residents area is observed to have no TV). When asked if they could turn her around to face her roommates side of the room directly behind her so that she can see the TV that is on in the room, she stated, I am not sure. On 04/13/17 at 8:23 AM, during an interview with Minimum Data Set (MDS) Nurse Staff #99, she was brought to Resident #110's room and was asked why the resident's bed is facing the wall, away from her roommates and the door, she stated, I don't know why she would be like that. On 04/13/17 8:55 AM during an interview with the Administrator Staff #43, she confirmed that the staff is now turning her bed around to face her roommates, and the door. Record review of Activity Policies and Procedures dated 07/01/16 revealed, Policy: The Activity/Recreation Director and staff will provide for ongoing Activity/Recreation programs. Purpose: To provide programs to address the abilities, needs and interests of the patients/residents. This would include large groups, small groups, individual and independent opportunities. Programs take place mornings and afternoons, seven days a week to include holidays and evening and take place in various areas, both inside and outside of the Facility. | 2020-09-01 |