cms_WV: 5687
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5687 | LAKIN HOSPITAL | 5.1e+125 | 1 BATEMAN CIRCLE | WEST COLUMBIA | WV | 25287 | 2015-01-14 | 248 | D | 0 | 1 | RMOB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview, observation, and record review, the facility failed to provide a meaningful activity program for one (1) of three (3) residents reviewed for activities. The Stage 2 sample was 28. Resident identifier: #40. Facility census: 89. Findings include: a) Resident #40 Resident #40 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. His most recent Minimum Data Set (MDS) assessment, dated 11/12/14, documented Resident #40 had short term and long term memory loss and was moderately cognitively impaired for daily decision making. The MDS also documented the resident was at times resistant to care and would wander on the unit. Review of the annual MDS, dated [DATE], found Resident #40 was assessed to enjoy being around animals, liked books, reading, keeping up with the news, and religious activities. The current care plan, dated 11/26/14, documented Resident #40 enjoyed church and coloring books. The care plan also documented the resident was not able to voice his choice regarding activities; therefore, staff were to anticipate his activity needs, inform him of scheduled activities, encourage him to participate, inform him when church services were being conducted, and escort him if needed. Review of the activity calendar for (MONTH) (YEAR), found on 01/12/15 at 3:00 p.m. and on 01/13/15 at 10:30 a.m., individual and small group activities were to take place on the individual resident units. Observations on these dates and times identified there were no activities conducted on C Unit due to the fact the activity staff for the C unit had called in ill. Further review of the (MONTH) activity calendar revealed Church services were offered on 01/04/15, 01/08/15, and 01/11/15. There was no evidence Resident #40 attended Church services on any of those dates. The activity calendar also indicated one-on-one activities were to be conducted on the individual units on 01/05/15, 01/07/15, and 01/12/15. There was no evidence Resident #40 was invited or attended these activities. Observations on 01/12/15 at 9:30 a.m., 1:10 p.m., and 3:30 p.m., revealed Resident #40 was in his wheelchair on the unit, but was not participating in any activities. Observation on 01/13/15 at 2:05 p.m. revealed he was in bed. Observation on 01/14/15 at 9:30 a.m. revealed he was in his wheelchair on the unit. Interview with Health Service Trainee #141, on 01/13/14 at 2:40 p.m., revealed she was not aware of any activities that occurred on the unit that Resident #40 attended. She stated she had never seen Resident #40 leave the unit during her shift from 7:00 a.m. until 3:00 p.m. to attend activities. She also stated she had never seen the activity staff come to the unit and do one-on-one activities with Resident #40. She stated he usually spent the day in his wheelchair or in his bed. She said he was mobile in his chair, but stated she was not aware of any activities he was involved in throughout the day. Interview with Activity Staff #129, on 01/13/15 at 2:05 p.m., revealed she was not the staff member responsible for providing one-on-one activities for the residents on the C unit. She indicated Activity Staff #29 was responsible for that unit, but he was off work ill on this date. She stated he called in ill yesterday and 01/13/15 was his day off. She stated she was aware Resident #40 liked to be read to, drink his coffee, and reminisce. Upon request to see the activity logs for Resident #40, she stated they did not keep good records of what they did for the residents in regards to one-on-one activities. She stated if the resident attended large group activities she would have documentation of that participation. She was not able to provide any documentation of one-on-one or any activities that were provided to Resident #40 on the unit, or off the unit, for (MONTH) 2014 or (MONTH) (YEAR). She stated she used to document on a standard form for individual resident participation when she conducted one-on-one activities with residents, but she did not document on that form anymore. Therefore there was no evidence of one-on-one activities participation for residents. Further interview with Activity Staff #129 on 01/14/15 at 3:22 p.m. revealed if an activity staff member was ill and could not provide the scheduled activities for their designated unit, the other activity staff did not cover that unit. She stated Activity Staff #29 had been off for three (3) days so the residents on the C units who were to receive one-on-one activities would not have received activities for those days. Activity Staff #129 said the only time activity staff would cover each other's units would be if an activity staff member was going to be off for an extended amount of time. This information was shared with the Director of Nursing Staff #6 on 01/14/15 at 9:08 a.m. She verified activity staff should be recording any activities provided to the residents. She also verified if an activity staff member was ill, another activity staff member should be covering that unit to ensure the residents were provided meaningful activities according to their care plans. | 2018-09-01 |