cms_WV: 3273
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3273 | MAPLES NURSING HOME | 515186 | 1600 BLAND STREET | BLUEFIELD | WV | 24701 | 2017-02-09 | 241 | D | 0 | 1 | UXFJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview, the facility failed to carry out activities to assist the resident to maintain his self-esteem and self -worth. This was true for one (1) of one (1)resident reviewed for the care area of dignity. Resident #29 had a persistent urine odor. Resident identifier: #29. Facility census: 58. Findings include: a) Resident #29 Observation of the resident in Stage 1 of the Quality Indicator Survey (QIS) at 4:54 p.m. on 02/06/17 found the resident was in his room, in bed and under the covers. Upon entrance to the room, a strong urine odor was detected. The odor was permeating from the area where the resident was located. Review of the resident's current care plan found no information to indicate the resident refused personal care. The care plan addressed the resident's activities of daily living (ADL's) and directed the resident's bathing required the assistance of one (1) staff member for bathing on Tuesday's, Thursday's and Saturday's. Observation of the resident at 9:45 a.m. on 02/08/17, found the odor was still persistent. Review of the resident's shower schedule with Employee #88, the unit secretary, at 10:00 a.m. on 02/08/17, found documentation the resident had received a shower on 02/07/17. At 10:10 a.m. on 02/08/17, Registered Nurse (RN), #8, working on the resident's unit, said the resident usually has a urine odor. She stated sometimes he refuses care. At 10:20 a.m., on 02/08/17, the resident was observed in his bed. The director of nursing (DON) was present for the observation. The DON acknowledged the odor and said it could be his mattress and sometimes the resident hides his briefs. Observation of the room, found no indication the resident had hid his briefs on this day. The DON said she would have the sheets and blankets stripped and his mattress cleaned. She said the facility had recently purchased a new mattress for the resident. She said the resident is known to dribble urine on himself, his bed and the floor of his room. He urinates everywhere. At 10:35 a.m., on 02/08/17, Housekeeper (HSK) #17, was cleaning the resident's room. The resident was not present in his room. HSK #17 acknowledged the urine odor. He and his room just smell like urine. Review of the current minimum data set (MDS) with an assessment reference date (ARD) of 12/25/17, found the resident was always incontinent of bowel and bladder. [DIAGNOSES REDACTED]. The resident was receiving the medications: [REDACTED]. Review of the resident's laboratory values for 02/01/17 found the bun and creatinine were within normal limits, indicating the resident most likely did not have a urinary tract infection. At 6:47 p.m., RN #8 said she has noticed a urine odor in the resident's room. He is incontinent a lot. They pretty much change out the whole bed every day. Observation of the resident by two (2) surveyors at 6:59 p.m. on 02/08/17 found the odor continued to be present in the resident's room. At 7:10 p.m. on 02/08/17, the resident's nurse aide (NA), #38 said, Yeah, the room smells like urine, because he dribbles urine in the room. The nurse surveyor observed incontinence care on the evening of 02/08/2017. At 7:27 p.m. on 02/08/17, the nurse surveyor stated the urine odor, Took my breath, when the brief was removed. Upon entrance to the resident's room at 7:45 p.m. on 02/08/17, the urine odor was only slightly present in the resident's room. At 7:45 p.m., RN #52, said she could find no evidence the resident had seen a urologist since 05/2015. She said the resident was admitted to the facility on [DATE] and there could be more records which she did not have access to review. At 8:05 a.m. on 02/09/17, the DON said, I take offense to you writing that deficiency. We know he has an odor and we work hard to keep him clean. She was asked to provide verification the facility had addressed the urine odor, such as the care plan, nursing notes, urology consults, etc. At 8:30 a.m. on 02/09/17, the DON provided a copy of a urology consult on 05/22/14 ordered for retention of urine and a strong odor. This was the last time the resident has seen the urologist. The DON was unable to read the results of the consult. She said the resident's mattress had been replaced in (MONTH) (YEAR). The resident's physician was interviewed on 02/09/2017 at 9:26 a.m. The physician said, If it has been that long since the urology consult, maybe he needs to go back. At 9:27 a.m. on 02/09/2017, the DON confirmed the care plan did not include the interventions the facility had taken to resolve the odors. The DON was unable to provide further documentation as to how the facility had worked to resolve the urine odor of which they were well aware of. At the close of the survey at 4:45 p.m. on 02/09/17, no further information had been provided. | 2020-09-01 |