cms_SC: 9851
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9851 | THE COTTAGES AT BRUSHY CREEK | 425004 | 101 COTTAGE CREEK CIRCLE | GREER | SC | 29650 | 2011-05-18 | 248 | E | 0 | 1 | B6NE11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, 5 of 14 sampled residents had no structured activities observed. (Residents #1, #4, #6, #8, and #13) Random observations of 10 of 12 cottages revealed structured activities per the posted Activity Calendar were not provided to residents during the days of the survey and 6 of 7 participants in the Group Interview voiced concerns related to the lack of activities. The findings included: During initial tour of Forsythia Cottage, on 5/16/11 at 11:37 AM, the Activities Calendar was noted to be at standing eye height level, printed on 8 1/2 by 11 inch paper and difficult to read from chair height. The facility admitted Resident #1 on 2/26/10 and readmitted her on 5/10/11. Her [DIAGNOSES REDACTED]. On 5/18/11 review of the 2/11/11 Life Enhancement Assessment for Resident #1 indicated that the resident was interested in playing Uno (a card game), enjoyed large and small groups and structured activities but needed encouragement. There was no documentation in the notes that card playing had been offered as an activity to this resident. Review of the Life Enhancement Notes revealed documentation of the residents limited participation in only 10 activities since the beginning of January. The facility admitted Resident #8 on 6/24/09 with [DIAGNOSES REDACTED]. On 5/18/11 review of the 9/13/10 Life Enhancement Assessment for Resident #8 indicated that the resident was comfortable in large and small groups and with 1 on 1 sensory activities. Activity Interests and Preferences indicated that the resident needed encouragement and Participation Patterns indicated that she was a passive participant with activities. During the days of the survey, Resident # 1 and # 8 were not observed engaged in any structured activities. Both were observed in their room or in the day area with the television playing. Both resident's engaged in conversation with other residents and self propelled their wheel chairs throughout the cottage. There was no structured activity observed being provided in Azalea or Forsythia Cottages on all days of the survey. During an interview on 5/18/11 at approximately 10:30 AM, the Activities Director (AD) stated that Activity Calendars were posted in all cottages but confirmed that the calendars were printed on 8 1/2 by 11 inch paper and posted too high to read from a wheel chair. She stated that worship services were scheduled on Tuesdays and Thursdays in different cottages each week. She stated group activities were scheduled at least weekly in the community room. The AD further stated that during inclement weather, the Certified Nursing Assistants (CNA's) were responsible for providing activities to the residents in each cottage. The AD confirmed that the CNAs were aware of their responsibility to provide meaningful activities. She verbalized that she had not been monitoring the activities being provided by the CNAs. The AD stated the CNAs "claim they don't have time." She confirmed no recent in-services had been conducted for the CNAs related to the types of activities that should be provided to low functioning residents. During the interview, the Nursing Home Administrator (NHA) stated she came to the facility in December, 2010. She stated she had identified a problem with the Activity Program in February, 2011. She presented a plan to the Performance Improvement Committee in February. The NHA also stated that all CNAs were trained at the Technical College on Life Enhancement and that cooks and housekeepers had been hired to allow time for the CNAs to provide activities to the residents in their assigned cottage. She further stated progress had not occurred as hoped and confirmed that no changes had been made to the plan to improve the Activity Program. On all days of the survey, no ongoing program of structured activities was observed being provided for the residents of the Lilac or Rhododendron Cottages. An interview was conducted with the Activity Director and Administrator on 05/18/11 at approximately 10:30 AM . They confirmed that the Life Enrichment Program "did have problems" at this time. Random observations in the Jasmine Cottage on 5/16/11 and 5/17/11 revealed 12 resident housed in the cottage with no structures program of activities in place. A television was noted in the living area of the cottage and 2 to 3 residents were noted in the living area in front of the television. The activity calendar indicated a 3 PM movie would be presented in the Community Room at the facility. Upon arrival to the Community Room to observe the posted activity, it was noted that the activity did not take place. On 5/17/11 at approximately 10:45 AM a group meeting with 7 interview-able residents was held in the Jasmine Cottage. Six of the 7 interview-able residents expressed concerns about the lack of on going activity program. Three of the 7 residents stated the activities presented are not age appropriate for them. The three residents stated "play doh" or "clay" was presented as an activity. Two group members stated that they did not like playing with a big ball as an activity. One group member stated she does exercises independently and stated she would like to have other participants to encourage her. One resident from a different cottage stated a Wii game was available in his cottage. Four of the group member then commented- "How do we get a Wii game?" Review of the Activity Calendars for March, April and May revealed a 7 PM activity everyday called "Sleepy Tea". The surveyor asked the group members, What is sleepy tea? The group members stated they were not sure and one group member said- "You tell us, we do not know." Four of the 7 group member stated they had requested age appropriate activities but there had been no changes. Resident #4 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. An interview was conducted with Resident #4 on 5/16/11 at 3:30 PM. The resident stated that the facility does have activities at the community building but there are not activities in Magnolia Cottage. She stated that she has complained about the lack of activities for a year and a half with no changes. On 5/16/11 and 5/17/11, random observations were done in Magnolia Cottage and Holly Cottage. There were no activities observed throughout the survey in these cottages. The facility admitted Resident #6 on 4-29-11 with [DIAGNOSES REDACTED]. On 5-18-11, review of the 5-6-11 Enhancement Assessment revealed Resident #6 enjoyed playing cards/games/puzzles, working with cloths, listening to semi-classical music, and reading newspapers and magazines. Spiritual services were also very important to her. The assessment also revealed the resident was comfortable with large groups, small groups and that she needed encouragement in participation of activities. During the days of the survey, Resident #6 was not observed in any structured or individualized activities other than watching television. During the days of the survey, observation revealed no structured activities were being provided to any residents in the Rose Cottage. On the days of the survey, the facility failed to provide structured activities in Tea Olive Cottage. On 5-16-11, review of the Activities Calendar for the cottage revealed that at 11:00 am, "Ball Toss" was scheduled and there was no ball toss activity observed. On 5-16-11 at 3:00 PM the Activities Calendar revealed "Movie Matinee" as the activity. It was observed that there was one resident at the television asleep and the volume was not on. During an interview on 5-16-11 at 3:33 PM, Certified Nursing Assistant (CNA) #1 checked the calendar and stated that she was unaware that a movie was to take place. On 5-17-11, there were no planned activities scheduled in the Tea Olive Cottage per the Activity Calendar, and there were no structured activities observed. On 5-18-11, the Activities Calendar in Tea Olive Cottage noted that at 11:00 AM, "Price is Right ON TV 7" was the scheduled activity. It was observed that no residents were participating in this activity. During an interview on 5-16-11 at 11:15 AM, Resident #13 stated, "I am lonely and (have) nothing to do". | 2014-10-01 |