cms_SC: 737
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 737 | MANNA REHABILITATION AND HEALTHCARE CENTER | 425084 | 716 E CEDAR ROCK ST | PICKENS | SC | 29671 | 2020-02-27 | 550 | E | 1 | 1 | 848R11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observations, record reviews, interviews and review of the facility's Feeding the Impaired Residents policy, the facility failed to ensure that residents were treated with dignity and respect for 3 of 3 residents triggered for dignity and 1 of 3 triggered for pressure ulcer treatment. Resident #14 not served or eating while roommate was served and eating. Residents #63 and #107 with staff standing while feeding the residents. Resident #109 with nurse observed putting dressing on resident wound then writing on the dressing after it was placed on the resident's ankle. The findings included: The facility admitted Resident #107 on 7/21/17 with [DIAGNOSES REDACTED]. During random meal observation on 2/24/20 at approximately 1:53 PM, Certified Nursing Aide (CNA)#1 was observed standing in room [ROOM NUMBER] while feeding Resident #107 who was in bed. The resident's bed was observed in a high position. A folding chair was observed in corner of room while CNA was standing while feeding the resident. The facility admitted Resident #14 on 3/18/19 with [DIAGNOSES REDACTED]. A random observation on 2/25/20 at approximately 8:18 AM revealed Resident #14 in room [ROOM NUMBER] with his/her roommate served and eating breaking while Resident #14 was not served or eating breakfast and the privacy curtain was not pulled. Resident #14 tube feeding was also not in progress at the time of the observation. The facility admitted Resident #63 on 9/26/18 with [DIAGNOSES REDACTED]. A random observation on 2/25/20 at approximately 8:23 AM revealed Certified Nursing Aide (CNA) #2 standing in room [ROOM NUMBER] while feeding Resident #63 who was in bed. Resident #63's bed was not in a high position (at level of CNA) who was standing while feeding the resident. An interview and observation on 2/25/20 at approximately 8:37 AM with Licensed Practical Nurse (LPN) #5 revealed Resident #14 roommate seated at bedside table eating his/her breakfast while Resident #14 was not served or eating breakfast with privacy curtains not pulled/closed. LPN #5 stated the privacy curtains should have been pulled since both residents in room were not served and eating. LPN #5 preceded to close the privacy curtains. An interview on 2/25/20 at approximately 8:41 AM with CNA #2 confirmed he/she was standing while feeding Resident #63 who was in bed. CNA #2 stated he/she should not have been standing and that he/she was standing because she could not find a chair. An interview on 2/25/20 at approximately 9 AM with the Director of Nursing (DON) revealed it was acceptable for staff to stand while feeding resident if the resident and staff was at the same level. A copy of the facility's policy on standing while feeding residents was requested. A review on the facility's policy Feeding the Impaired Residents on 2/26/20 at approximately 7:33 AM, under Steps in the Procedure #10 indicated staff were to Sit at bedside in chair while feeding the resident. There was no documentation to indicate the staff should stand while feeding residents. Reviewed Resident #107 care plan. There was no documentation in the resident's care plan to indicate staff should be standing when feeding the resident. An interview on 2/27/20 at approximately 9:16 AM with CNA #1 revealed he/she confirmed observation of standing while feeding Resident #107 who was in bed. CNA #1 further stated he/she was under the impression it was acceptable to stand while feeding a resident if were at the same eye level. The facility admitted Resident #109 with [DIAGNOSES REDACTED]. Wound care for Resident #109 was observed on 2/25/20 at 2:32 PM. At the completion of the wound care, Registered Nurse (RN) #3 Placed a dressing over the resident's right ankle. RN #3 then proceeded to write the date on the dressing. During an interview with RN #3, on 2/27/20 at 9:46 AM, RN #3 confirmed s/he dated the dressing after it was applied to the resident's ankle. RN #3 stated this is a dignity issue and s/he should not have written on the dressing after it was placed on the resident. During an interview with the Director of Nursing (DON), on 2/27/20 at 9:57 AM, the DON stated RN #3 had come to her/him after the wound care and reported on the treatment s/he provided. The DON stated RN #3 told her/him s/he had written on the residents dressing after placing the dressing on the residents ankle. The DON stated s/he educated RN #3 that this is a dignity issue and nursing can not write on residents after dressings are placed. The DON stated RN #3 was re-educated. | 2020-09-01 |