cms_SC: 85
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 85 | FAITH HEALTHCARE CENTER | 425009 | 617 WEST MARION STREET | FLORENCE | SC | 29501 | 2019-12-22 | 679 | D | 0 | 1 | WNXB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews and interviews, it was determined the facility failed to provide meaningful activities to two (#15 and #21) of two sampled residents reviewed for activities on the AB hall. The facility identified 34 residents who resided on AB Hall. The findings include: The facility's activity calendar for (MONTH) 2019 documented the following activities were to be provided: 12/20/19: 10:30 AM Reverend (name redacted); 2:00 PM Exercise; 2:30 Puzzles; 3:30 PM Music and Table Top Games. 12/21/19: 10:30 AM Christmas Movies/Arts and Crafts; 3:00 PM Church. 1. Resident #15 had [DIAGNOSES REDACTED]. An admission Minimum Data Set (MDS), dated [DATE], documented the resident's cognition was severely impaired and required total assistance from staff for activities of daily living skills such as transfers and locomotion. A care plan, last updated 10/14/19, documented the resident enjoyed family visits, reading the bible, watching TV, listening to music, church, flower/plants and having snacks between meals. The documented interventions included to provide the resident with verbal reminders of the activities. The resident's current physician's orders [REDACTED]. On 12/20/19 at 9:45 AM, the resident was observed up in her wheelchair in her room. The room was dark, and the resident had no television in her room or radio to play music. On 12/20/19 from 9:45 AM to 10:35 AM, the resident remained in her room with the lights off. There were no stimulating activities provided to the resident while she was in the room. The resident was observed with her eyes closed on and off during this time. On 12/20/19 at 10:30 AM, there was a church service provided in the main dining room. No staff was observed letting the resident know of the activity or took her to the activity. On 12/20/19 from 10:30 AM to 12:45 PM, the resident again remained in her room with the lights off. She was observed on multiple occasion in the dark room, with her head hung low and eyes closed. The resident was not provided any stimulating activities during this time. On 12/20/19 at 2:00 PM, the resident was observed asleep in her wheelchair in her room. The lights were off, and the room was dark. There were no meaningful activities being provided to the resident. On 12/20/19 at 2:00 PM, an activity of exercise occurred. At 2:30 PM, residents were putting puzzles together, and at 3:30 PM music was provided. All activities were in the main dining room. Resident #15 remained in her room, with the lights off and was not offered to attend and/or taken to the activities in the main dining room. There were no meaningful activities being provided to the resident. On 12/21/19 from 8:51 AM to 12:00 PM, the resident was observed in her room in her wheelchair. She sat at an overbed table at the foot of her roommate's bed. There were no activities in the room being provided and the resident was not taken to the morning activities of Christmas Movies/Arts and Crafts at 10:30 AM in the main dining room. On 12/21/19 at 1:10 PM, the Activity Director (AD) and Assistant Activity Director (AAD) were interviewed regarding Resident #15. They both agreed it was the activity department's responsibility to make sure the residents were provided a meaningful program of activities. They stated the residents were logged in on an attendance record for group activities and a separate sheet for one-on-one activities. They indicated Resident #15 was quiet and liked to listen to Gospel music and attend religious activities to hear about the Bible. They both stated the resident was dependent on staff to tell them when the activities were going on and required assistance to get to and from the activities. The AD and AAD stated they needed to monitor the residents better to make sure they are coming to activities and provide them with one-on-one activities of their likings. On 12/21/19 at 3:01 PM, Certified Nurse Aide #135 stated it was all the staff's responsibility to make sure residents were aware of and taken to activities. She then stated residents that do not go to group activities should have room visits or one-on-one activities provided. She stated Resident #15 enjoyed television and music, but there was nothing in the room to provide them. She then stated the resident did not always like to go to group activities. She then acknowledged the resident did not attend and was not taken to any activities on the previous day or during the morning of 12/21/19. She stated the resident had not been provided much for activities and more should be provided. 2. Resident #21 had [DIAGNOSES REDACTED]. A quarterly (MDS), dated [DATE], documented the resident's cognition was severely impaired and required total assistance from staff for activities of daily living skills such as transfers and locomotion. The current physician's orders [REDACTED].activities as tolerated . An activity progress note, dated 10/05/19, documented, .She attends group activities also gets activities in AB hall lobby . This was the last documented activity progress note in the clinical record. The resident's care plan, last updated 11/13/19, documented, Problem .is receiving hospice services .she continues to attend our activities 1-2x's a week. She prefers to watch tv/movies/news, attending spiritual socials and food related events. She is able to make her simple needs and wants yes and no question .Interventions encourage to become involved with activities out of their room [ROOM NUMBER]x's a week or offer entertainment in their room . On 12/20/19 at 9:45 AM, the resident was observed up in her geri-chair in the common area of the AB hall. The resident was facing a white wall, away from the television that was on. On 12/20/19 from 9:45 AM to 12:05 PM, the resident was observed in the common area facing away from the television at a white wall. There were no meaningful activities for the resident, and she was observed with her eyes closed while in the room. On 12/20/19 at 12:05 PM, the resident was taken to her room, provided care and then taken back out and placed across from the nurses' station. The resident was not taken to the morning activities. On 12/20/19 at 10:30 AM, there was a church service provided in the main dining room. No staff was observed letting the resident know of the activity and/or taking her to the activity. On 12/21/19 from 8:51 AM to 12:00 PM, the resident was observed in her room in bed. There were no activities being provided in the room. A roommate's television was on, but it was behind the center privacy curtain at the resident's head of the bed and Resident #21 could not see it from her bed. The resident was not taken to the morning activities of Christmas Movies/Arts and Crafts at 10:30 AM in the main dining room. On 12/21/19 at 1:10 PM, the Activity Director and Assistant Activity Director were interviewed regarding Resident #21. They indicated it was the activity department's responsibility to make sure residents were provided with a meaningful activity program. They stated the residents are logged in on an attendance record for group activities and a separate sheet for one-on-one activities. The AD and AAD indicated Resident #21 liked to listen to music, reading and religious activities. They also indicated the resident enjoyed watching television and listening to music relaxed her. They stated the resident was totally dependent on staff to assist with and provide activities. They both stated they needed to monitor the residents better to make sure they are coming to activities and provide them with one-on-one activities of their likings. On 12/21/19 at 3:01 PM, Certified Nurse Aide (CNA) #135 stated it was all the staff's responsibility to make sure residents were aware of and taken to activities. She then stated residents that do not go to group activities should have room visits or one-on-one activities provided. CNA #135 stated Resident #21 enjoyed television, music and conversations with others. She then acknowledged the resident did not attend and was not taken to any activities on the previous day or during the morning of 12/21/19. She stated the resident had not been provided much for activities and more should be provided. | 2020-09-01 |