cms_SC: 6525
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6525 | THE RIDGE REHABILITATION AND HEALTHCARE CENTER, LL | 425293 | 226 WA REEL DRIVE | EDGEFIELD | SC | 29824 | 2017-05-10 | 155 | E | 1 | 1 | T7X811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and facility record review, the facility failed to honor residents rights regarding refusal of medications for 3 of 6 residents reviewed for behaviors. Residents #86, #112 and #71 were administered medications against their will. The findings included: In response to facility reported incidents of resident's given medications against their will an investigation was conducted during the Recertification Survey. Residents #86 and #112 had a history of [REDACTED]. The facility admitted resident #112 with [DIAGNOSES REDACTED]. Review of the resident's Quarterly Minimum Data Set (MDS) of 12/6/16 and Annual MDS of 3/3/17 revealed the resident was severely cognitively impaired with Brief Interview for Mental Status (BIMS) score of 2 and 3 out of 15. Review of the Resident's care plan revealed a problem with behaviors. History of verbal and physical aggression with staff and others, refusal to take meds, refusal to allow staff to assist with ADL's care and mobility tasks r/t [DIAGNOSES REDACTED], and [MEDICATION NAME] Hemorrhage. 4/24/17 4:20 PM The Surveyor attempted to interview the resident. The resident was sitting in Rock-n-go with alarm at the nurses station. Don't want you around. My name is -------. The resident's speech was slurred and difficult to understand. The resident was agitated and not able to answer questions. The facility admitted resident #71 with [DIAGNOSES REDACTED]. Review of Nurses Notes revealed resident had behaviors of hitting staff, cursing and refusing therapy treatments and refused to allow staff to assist. 4/24/2017 3:40 PM Resident observed lying in bed on back. TV on in room. Alert verbal. Doesn't remember anything about getting a shot through her clothes. Doesn't remember refusing to take [MEDICATION NAME] injection. I take shots all the time. On 4/24/17 at approximately 5:45 PM, Licensed Practical Nurse (LPN) #7 was interviewed by the surveyor. The LPN stated resident #112 reported to me, that the nurse forced him to take his/her medication, her/his name was -----(LPN #8). S/he asked the Certified Nursing Assistants (CNA's) to hold him/her down while s/he gave him/her an injection. I saw him/her do it. S/He was out in the lobby area acting out. I watched the CNA's hold him/her down. They did what they were told to do. I heard him/her say s/he did not want the shot. I reported it to the Director of Nursing (DON). Resident #86 was admitted to the facility with [DIAGNOSES REDACTED]. On 4/24/2017 at approximately 3:50 PM the resident was observed, up in wheel chair, propelling self in hallways. The surveyor attempted to speak to resident. Resident glaring at surveyor, no verbal response to attempts at conversation. On 4/25/17 at approximately 11:30 AM the surveyor attempted to interview the resident s/he continued to glare when surveyor attempted to talk with resident. Attempts to interview, unsuccessful. Review of the medical record revealed an Annual MDS of 1/23/17. The resident's BIMS score was 3 out of 15. Behaviors were coded of delusions with no behaviors. A Quarterly MDS of 3/20/17 revealed the resident was not coded for delusions. Review of the care plan revealed an identified problem history of physical and verbal aggression toward staff and other residents. History of refusing medications, history of refusing staff assistance with ADL's and mobility tasks, hygiene and bathing. Interventions included to administer medication. Divert attention when possible and attempt to refocus behavior on something else. Review of the Nurses Notes from August 2016 through 4/24/17 revealed the resident frequently refused medications. Review of the facility investigation revealed a statement from LPN #10. The LPN observed LPN #9 give the resident a [MEDICATION NAME] injection through the resident's clothes, after the resident refused the medication. LPN #9 was interviewed by phone on 5/5/17 at 11:30 AM. The LPN stated the resident never refused medication from him/her. I had no problem giving him/her medication. S/he would put his/her arm out. I never had a problem with him/her. On 5/10/17 at approximately 10:30 AM LPN #10 was interviewed by the surveyor. I saw her/him (resident #86) get a [MEDICATION NAME] shot by LPN # 9, given straight to the resident through his/her clothes. I was told the resident refused his/her meds. The last time I saw it the resident was bleeding. I think it was his/her right arm. I witnessed LPN #9 several times around May or June of last year give the resident injections when the resident had refused. I had reported to the DON (Director of Nursing). Resident #71 was held down in her/his bed and given a shot. The resident said s/he did not want the [MEDICATION NAME] shot. It made her feel funny and gave him/her knots in his/her arms. I saw the resident be given the [MEDICATION NAME] two times. Based on Based on Based on | 2018-01-01 |