cms_WV: 3392
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3392 | FAIRMONT HEALTHCARE AND REHABILITATION CENTER | 515189 | 130 KAUFMAN DRIVE | FAIRMONT | WV | 26554 | 2019-01-31 | 657 | D | 0 | 1 | 0LCE11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review and staff interview, the facility failed to implement individualized interventions, as well as revise the care plan accordingly, to address a resident's new behaviors. Person-centered interventions with measurable goals were not developed in response to Resident #94's wandering into other residents' rooms and rummaging through others belongings. This was found for 1 of 31 care plans reviewed. Resident identifier: #94. Facility census: 108. Findings include: a) Random observations on 01/28/19 and 01/29/19, found Resident (R) #94 wandering through the facility and into other residents' rooms. Review of the medical record on 01/29/19, revealed R#94 was admitted to the facility in 2012 with a [DIAGNOSES REDACTED]. The annual minimum data set (MDS) assessment with an assessment reference date (ARD) of 10/06/18, notes R#94 had a Brief Interview for Mental Status (BIMS) score of 9 (indicating moderate cognitive impairment) and no behaviors. The quarterly MDS with an ARD of 01/04/19, notes R#94's BIMS score has decreased to 6 (indicating severe cognitive impairment). In addition, she has verbal behavioral symptoms directed towards others (threatening others, screaming at others, cursing at others) 1-3 days of the 7 day look back period. The computerized records note the following documentations: 01/25/19 - Nursing wrote: Resident went into room (number) and took bed ones breakfast tray and over bed table into her room and ate 50% of it . 01/05/19 - Nursing wrote: Resident was at med cart attempting to take items off of med cart. Resident was threatening to strike out. Resident was redirected 2x (twice) before returning to room. The care plan, last revised 10/18/18, lists the following focus, goals and interventions for R#94's behaviors: - Focus: Rummaging (other resident rooms) related to cognitive impairment - Goal: Will return items belonging to others - Interventions: Distract and redirect as needed. Monitor room as needed and return items/belongings to others. -Focus: Repetitive physical movements/entering others rooms related to cognitive impairment related to dementia - Goal: Reduce frequency/duration of repetitive movements - Interventions: Administer medications as ordered and (typed as written)Redirect behavior by (specify action) -Focus: Verbal/physical agitation/aggression related to cognitive impairment - Goals: Will not harm self or others and will not verbally abuse others - Interventions: Allow time to respond to directions or requests, approach slowly, attempt [MEDICAL CONDITION] drug reduction per physician orders, give clear, concise explanations, provide diversional activities, and use consistent routines and caregivers. **The current care plan lacks measurable goals and individualized person centered interventions for staff to utilize in response to R#94's behaviors. Registered Nurse (RN) #11, reviewed R#94's care plan on 01/29/19 at 4:30 PM. RN #11, acknowledged R#94 wanders into other residents' rooms and takes their belongings. When asked about the goal to return items belonging to others, she stated We have to return their belongings and agreed this was not a person centered goal for Resident #94. Upon further review of the care plan, RN #11 agreed the care plan lacks measurable goals and person centered interventions for R#94's behaviors and wandering. | 2020-09-01 |