cms_SC: 8233
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8233 | WINDSOR MANOR | 425114 | 5583 SUMMERTON HIGHWAY | MANNING | SC | 29102 | 2013-06-06 | 490 | E | 1 | 0 | 43K911 | On the days of the survey, based on record review and interview, the facility failed to be administered in way that effectively and efficiently enabled the residents to attain or maintain the highest practicable physical, mental and social well-being of each resident. Facility Administration failed to identify the use of multiple restraints without assessments, continued use of restraint as the resident demonstrated unsafe behaviors, the use of restraints without an order, and a careplan that did not accurately reflect the resident for Resident # 51. Additionally, the facility Administration failed to identify the lack of a documented and active grievance policy and failed to identify Licensed Practical Nurses were required to have advanced documented training prior to changing gastrostomy tubes. The findings included: A pattern of concerns was identified for Resident # 51 during chart review on the days of the survey. Included in the concerns were the the use of multiple restraints without assessments, continued use of restraints as the resident demonstrated unsafe behaviors, the use of restraints without an order, and a careplan that did not accurately reflect Resident # 51. Additionally, the facility Administration failed to identify the lack of a documented active grievance policy. When interviewed on 6/6/13, the Administrator stated s/he did not find it unusual that the facility had not had any grievances since the arrival of the new social services representative or since the last survey. The Administrator later confirmed a resident had expressed concern related to missing money and s/he replaced the missing money. However, there was no documentation to show the concern, the investigation or the resolution. When the Administrator conducted the personnel evaluation of the social services representative in December 2012, s/he did not identify the lack of documented grievances. The facility administration was unaware and failed to develop a program to assure Licensed Practical Nurses were aware not to change newly placed gastrostomy tubes and failed to provide and document the mandated training per regulatory requirement as verified on 6/6/13 by the facility consultant. | 2016-06-01 |