cms_UT: 36
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 36 | HERITAGE PARK HEALTHCARE AND REHABILITATION | 465003 | 2700 WEST 5600 SOUTH | ROY | UT | 84067 | 2018-09-05 | 660 | D | 1 | 0 | UVZZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined that the facility did not develop and implement an effective discharge planning process that focused on the resident's discharge goals, and the preparation of residents to be active partners and effectively transition to post-discharge care. Specifically, facility staff did not appropriately fill out paperwork for the New Choice Waver for a resident to discharge home. Resident identifier: 1. Findings include: Resident 1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 9/5/18 at approximately 12:30 PM, an interview was conducted with resident 1. Resident 1 stated that her plan since admission was for her to discharge home with family and a personal aide. Resident 1 stated that she needed the New Choice Waver completed for her to discharge home with an aide. Resident 1 stated that the Resident Advocate (RA) did not fill out the New Choice Waver (NCW) paperwork correctly. Resident 1 stated that she was delayed in discharge for 30 days because the paperwork was filled out incorrectly. Resident 1's medical record was reviewed on 9/5/18. A care plan dated 5/9/18 revealed, (Resident 1) wishes to return home. The goal revealed, Will verbalize/communicate and understanding of the discharge plan and describe the desired outcome by the review date. The intervention revealed, Establish a pre-discharge plan with the resident, family/caregiver and evaluate progress and revise plan. Social service progress notes revealed the following entries: a. On 6/5/18 at 10:05 AM, Resident is A (alert) & (and) O (oriented) (times) 3. She is able to voice her needs and concerns to staff. Resident has high anxiety and depression. b. On 8/6/18 at 5:06 PM, Resident was notified she would be moving from A-13 to C-18. Resident was very upset and started yelling at me. She stated she didn't want to have a room mate. Resident spoke with (Administrator). Trying to help he (sic) find a new place where she can have her own room. Resident said she was not going to wait and is calling home health and other facilities. c. On 8/28/18 at 12:07 PM, Resident come (sic) into RA's office and began to complain about how RA messed up her new choice waver and (Discharge Nurse) couldn't find the papers. She said that's why she didn't make the dead line. RA called NCW on speaker phone. RA asked why her NCW was postponed tell (sic) Oct (October) (YEAR). The NCW said that everything was turned in before the dead line but all the people involved was (sic) not able to asses (sic) her in time for September. She stated RA don't (sic) lesson (sic) to her complaints and that RA could care less. RA tried to explain. Resident began yelling 'Your (sic) the reason am (sic) still her (sic). Your (sic) messed it all up. And im (sic) calling everyone and get you fired.' And left office. d. On 8/28/18 at 12:20 PM, Resident come (sic) in and demanded RA to say she messed up her paperwork, also to say she was sorry. RA refused and recommended she talk to (discharge nurse) or (Director of Nursing (DON)) about her issues. On 9/5/18 at 2:04 PM, an interview was conducted with the R[NAME] The RA stated that she was filling in as the RA since the employee went on maternity leave. The RA stated that the NCW program allowed for residents to go into an assisted living. The RA stated that residents were able to discharge home with NCW. The RA stated that resident 1 and her husband filled out the paper work for NCW but they were not sure where she wanted to discharge. The RA stated that the home health agency involved did not fill out their portion of the NCW for resident 1 to discharge home. The RA stated resident 1 was unable to discharge home with NCW because the paperwork had to wait until (MONTH) 1st because of billing with medicaid. The RA stated that she had not followed up with NCW to see if the home health agency had submitted their information for her to discharge on (MONTH) 1st. The RA stated that resident 1 was upset about everything. The RA stated that she only know how to fill out paper work and send the NCW in. On 9/5/18 at 2:16 PM, an interview was conducted with the Discharge Nurse (DN). The DN stated that he was one of the discharge planners at the facility. The DN stated that he had been the discharge planner since (MONTH) (YEAR). The DN stated that resident 1 wanted to go home on the NCW, so she could get an aide for more assistance when she discharged home. The DN stated that staff should have started the NCW sooner but it fell through the cracks. The DN stated when he was reviewing resident 1's medical record he noticed she required a hoyer lift for transfers and he knew that resident 1 would not have been approved to discharge to an Assisted Living Facility (ALF). The DN stated that he had physical therapy re-evaluate the need for a mechanical lift for resident 1. The DN stated that resident 1 planned to discharge home but her husband stated to the DN that he was unable to care for resident 1 without help at night. The DN stated that he did not document the conversation. The DN stated that therapy did not have enough time to evaluate resident 1's transfer status because they were busy with other residents. The DN stated that he could have submitted the NCW form and received the initial approval sooner so she could have discharged on (MONTH) 1st. The DN stated that he could have called and got NCW approval sooner because she had a personal lift at home, so resident 1 did not need a physical therapy evaluation. | 2020-09-01 |