cms_SC: 8211
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8211 | CHESTER NURSING CENTER | 425061 | 1 MEDICAL PARK DRIVE | CHESTER | SC | 29706 | 2012-05-03 | 223 | L | 0 | 1 | WII411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** July 17, 2012 - Ammended to reflect change of original Scope and Severity Lowered to K and lowered Scope and Severity to E On the days of the Recertification and Extended Survey, based on observations, record review, and interviews, the facility failed to ensure the staff monitored visitors/sitters interactions with residents to ensure the safety and well being of residents in the facility. Resident #18 was allegedly verbally abused by Resident #11's visitor/sitter. The findings included: Cross refers to F-226 as it relates to the failure of the facility to follow policy to identify abuse and neglect, report allegations of abuse/neglect as well as protect residents from further abuse/neglect once an allegation was reported. Cross refers to F-490 as it related to the failure of the facility Administration to provide the necessary oversight to ensure policies and procedures related to protecting residents from abuse/neglect by reporting and intervening to prevent further abuse/neglect was implemented properly. The Administration was not aware paid sitters were operating in the building and the facility had no policies in place to ensure sitters were aware of facility policies and procedures and met regulatory requirements. Cross refers to F-520 as it relates to the failure of the facility to be aware that paid sitters were operating in the building and the facility had no policies in place to ensure sitters were aware of facility policies and procedures. The facility admitted Resident #18 with [DIAGNOSES REDACTED]. Record review revealed an Annual MDS (Minimum Data Set) dated 6/17/11 that indicated the resident had a BIMS (Brief Interview for Mental Status) of 3 indicating she was cognitively impaired. Review of the MDS dated [DATE] indicated Resident #18 had long and short-term memory with severe cognitive impairment in daily living skills. The MDS further indicated the resident had the ability to respond adequately to simple direction; no behavior problems were noted. On 5/01/12 at approximately 4 PM this surveyor heard loud yelling on the Gaston Unit. At least four staff members were observed on the unit at the time of yelling. As the surveyor approached the room from which the yelling was coming, she observed a tall, large male, believed to be a family member of Resident #11, standing over, yelling and pointing his finger at Resident #18 who was seated in a Geri chair. The male looked directly at Resident #18 and stated, You don't talk to her. You don't say anything to her. You all better move her. Prior to the surveyor approaching the room a hospice nurse was observed standing outside the door while the family member yelled at Resident #18. The surveyor in the hallway observed four facility staff members, fail to respond to the family member yelling at Resident #18. The surveyor approached the staff in the hallway and asked, Can anyone hear the yelling going on down the hall? What are you going to do about the family member yelling at the resident? The staff looked at the surveyor and hesitated. CNA (Certified Nursing Assistant) #3 entered the room and the family member and Resident #11 exited the room. The nurse at the medication cart did not attempt to protect Resident #18 from the angry family member. At approximately 4:08 PM the surveyor overheard Licensed Practical Nurse (LPN) #1 asking Registered Nurse (RN) #1 What should I do? Should I write a report? The State Agency surveyor reported to the Administrator at 4:35 PM on 5/01/12 the staff 's failure to respond immediately to protect Resident #18 from the alleged family member. In addition, the family member/sitter that was observed verbally abusing Resident #18 was allowed by staff to remove Resident #11 from the room via wheelchair and go to an unsupervised area of the skilled nursing facility without intervention by staff. In an interview with the surveyor on 5/02/12 at approximately 3:35 PM CNA #1 stated Resident #18 was confused and always made statements like This is my house. The CNA stated the visitor had been observed having conversations with himself but that 5/01/12 was the first time I have seen him in this rage. CNA #1 stated the visitor was loud and had been observed fussing with the staff last week. She stated that she did not respond to the yelling because the visitor was generally loud. The surveyor interviewed CNA #3 at approximately 3:50 PM on 5/02/12; she stated that she did not pay attention to the visitor's loud talking because he generally spoke loudly. In an interview with the surveyor on 5/02/12 at approximately 4:05 PM RN #1 stated the visitor was generally loud and sometimes he would get upset about clothes. In an interview with the surveyor on 5/02/12 at 8:30 AM the Administrator stated he was not aware of the Elder Justice Act (Affordable Care Act 2012), which requires long-term care facilities to report any reasonable suspicion of crimes. On 5/2/12 at 5:05 PM the Administrator stated the visitor was not a family member but a private sitter. The Administrator stated he was unaware the visitor was not a relative until today. The facility had no policy and procedures in place related to paid sitters and their role in the facility. On 5/2/12 at 1:55 PM, the Administrator and the Director Of Nursing were notified of a second Substandard Quality of Care and/or Immediate Jeopardy existing in the facility when an observation was made of a visitor verbally abusing a resident with no staff intervention to protect the resident. Documentation of inservices, observations, and interviews revealed the Allegation of Compliance submitted by the facility on 5/3/2012 had been implemented by the facility and was in practice removing the immediacy of the deficient practice. Facility nursing staff had been educated and were knowledgeable of abuse policies and facility procedures. The Administrator was informed of this on 5/3/12. The citation at F-223 remained at a lower scope and severity of E. | 2016-06-01 |