cms_WV: 11076
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 11076 | NICHOLAS COUNTY NURSING AND REHABILITATION CENTER | 515190 | 18 FOURTH STREET | RICHWOOD | WV | 26261 | 2009-06-04 | 279 | E | 0 | 1 | CKVD11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews, resident interview, and staff interview, the facility failed to develop comprehensive care plans to address the individualized needs of four (4) of fifteen (15) sampled residents. Resident identifiers: #13, #51, #62, and #68. Facility census: 89. Findings include: a) Resident #68 Resident #68, when interviewed on 06/02/09 at 1:30 p.m. and on 06/03/09 at 3:00 p.m., reported he had a stroke approximately six (6) years ago resulting in [MEDICAL CONDITION]. The resident was divorced and rarely received any visitors. He had a fall resulting in a [MEDICAL CONDITION] in April 2009 and was admitted to the facility for rehabilitative therapy services. The resident reported his life work was sports, having been a sports writer for a newspaper and a golf coach, and his primary interest was in sports, but the facility did not provide any activities relating to his interest in sports. The resident's activity assessment, dated 05/12/09, identified the resident had been a golf coach and sports writer. Review of Resident #68's medical record, on 06/04/09 at 10:00 a.m., found the resident's current plan of care, dated 05/30/09, did not address specific activity / social needs, likes, and/or interest for this [AGE] year old blind resident. When interviewed on 06/04/09 at 11:00 a.m., the registered nurse care plan coordinator (Employee #107) was unable to produce any additional evidence that the care plan addressed this resident's social needs and sports interest. b) Resident #13 Review of Resident #13's care plan revealed a goal indicating she will participate in an activity of choice three (3) times weekly. Two (2) interventions were listed to meet this goal - to encourage the resident to make decisions such as which activity to attend daily and to invite and take the resident to activities she may enjoy daily. However, the care plan did not identify any specific activities Resident #13 enjoyed and could do. Review of her participation record in activities for May 2009 revealed she attended some church services, pre-meal activities in the dining room, exercise with the rhythm band, and received one-on-one visits daily from staff of the activities department and visits from family and friends. Interview with the activity director (Employee #64), on 06/03/09 at 3:15 p.m., revealed Resident #13 enjoyed church, music, visits, and talking. She said she can see the care plan was not specific to Resident #13's interests. c) Resident #62 Review of Resident #62's care plan revealed a goal to attend and participate in exercise twice weekly, with interventions to include providing an activity calendar and encouraging her to go to activities. However, the care plan did not identify any specific activities Resident #62 enjoyed and could do. Review of her participation record for May 2009 found that, besides one-on-one visits and watching television, she took part in pre-meal activities in the dining room, exercise and rhythm band, and occasionally a trivia game or visits with family. Interview with the activity director, on 06/03/09 at 3:15 p.m., revealed Resident #62 enjoyed visiting and talking, and music, and she likes touch. She also reported Resident #62 got her nails done, which was not recorded in her participation record. She said she can see the care plan was not specific to Resident #62's interests. d) Resident #51 Review of Resident #51's care plan revealed a goal to attend and participate in activities two (2) or more times weekly, with an intervention to provide an activity calendar. However, the care plan did not identify any specific activities Resident #51 enjoyed or could do. Review of her participation record for May 2009 revealed she attended one (1) church service, exercised with the rhythm band, watched television, and received one-on-one visits in the room with activities personnel or family. Interview with the activity director, on 06/03/09 at 3:15 p.m., revealed Resident #51 especially liked to touch and hold hands or have her back rubbed, and she would often come into their department for that, as well as getting her nails done weekly. However, these activities were not recorded on her participation record, although she received them. The activity director reported Resident #51 enjoyed music at exercise class and church music. She agreed the care plan was not specific to Resident #51's interests. . | 2014-09-01 |