cms_WV: 5703
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5703 | PINE LODGE | 515001 | 405 STANAFORD ROAD | BECKLEY | WV | 25801 | 2015-01-29 | 312 | E | 0 | 1 | WCKU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, resident interview, record review, and staff interview, the facility failed to ensure a resident who was unable to carry out activities of daily living (ADLs) without staff assistance, received the necessary care and services to maintain good grooming and personal hygiene. Resident #132 was only provided a shower and/or offered a shower on multiple occasions. On occasion, she refused when offered, but asked to be showered the following morning. There was no evidence that upon these refusals the facility staff offered and/or provided a shower the following morning. One (1) of five (5) residents reviewed for Activities of Daily Living, Cleanliness and Grooming were affected. Resident Identifier: #132. Facility Census: 108. Findings Include: a) Resident #132 1. At 2:00 p.m. on 01/19/15 Resident #132 was asked if she was given the opportunity to choose how many times a week she took a bath or shower, she replied, No I have only had one (1) shower the entire time I have been here. She further indicated her daughter had called and talked to the staff about it last week, but it did not do any good because she has still not received a shower. Observations of Resident #132 made at this time noted her hair was unclean and oily. 2. A review Resident #132's medical record at 1:48 p.m. on 01/22/15 revealed Resident #132 was initially admitted to the facility on [DATE]. She remained in the facility until 10/08/14 when she was discharged to the hospital. Between 09/23/14 and 10/08/14 Resident #132 was scheduled to receive a shower on 09/25/14, 09/29/14, 10/02/14 and 10/06/14. A review of Resident #132's Activities of Daily Living (ADL) record for 09/23/14 through 10/08/14 revealed Resident #132 was only showered on 10/02/14 and did not receive her other three (3) scheduled showers. There were no documented shower refusals for Resident #132 during this time frame. Further record review found an Admission Minimum Data Set (MDS) with an assessment reference date (ARD) of 09/30/14, which indicated Resident #132 was totally dependent on staff for bathing. An additional fourteen (14)-Day MDS with and ARD of 10/07/14 indicated Resident #132 required physical help from staff during part of the bathing activity. Both MDSs indicated Resident #132 was unable to perform the bathing process independently during this time frame. 3. Resident #132 was readmitted from the hospital to the facility on [DATE]. She remained at the facility until 12/09/14 when she was discharged back to the hospital. Between 10/17/14 and 12/09/14 Resident #132 was scheduled to receive a shower on 10/20/14, 10/23/14, 10/27/14, 10/30/14, 11/03/14, 11/06/14, 11/10/14, 11/13/14, 11/17/14, 11/20/14, 11/24/14, 11/27/14, 12/01/14, 12/04/14, and 12/08/14. A review of Resident #132's ADL record for 10/17/14 through 12/08/14 found Resident #132 was only showered on 11/10/14. The ADL record indicated Resident #132 had refused a shower on 11/6/14, 11/13/14, 11/20/14, 12/01/14, 12/04/14, and 12/08/14. Therefore, Resident #132 was only showered one (1) time on 11/10/14 during this time frame. The facility did offer showers on six (6) other occasions which the resident refused. Resident #132 was not showered nor offered a shower on the remaining seven (7) scheduled shower days. The documented refusals on 11/13/14 and 12/01/14 indicated the resident had requested to have a shower in the morning (11/14/14 and 12/02/14) there was no evidence the staff offered to shower Resident #132 on the morning of 11/14/14 and 12/02/14. Further review of Resident #132's medical record found a 5-day MDS with and ARD of 10/24/14 and a 14-day MDS with an ARD of 10/31/14. Both MDSs indicated Resident #132 was totally dependent on staff for bathing. An additional 30-day MDS completed during this time frame with an ARD of 11/14/14 indicated Resident #132 required physical help from staff with at least part of the bathing process. Therefore, all three (3) MDSs indicated Resident #132 was unable to perform the bathing process independently during this time frame. 4. Resident #132 was readmitted from the hospital to the facility on [DATE]. She remained at the facility until 12/22/14 when she was discharged back to the hospital. Between 12/11/14 and 12/22/14 Resident #132 was scheduled to receive a shower on 12/15/14 and 12/18/14. A review of Resident #132's ADL record for 12/11/14 through 12/22/14 revealed Resident #132 refused both showers which were scheduled during this time frame. Documentation indicated Resident #132 refused her shower on 12/18/14 because she had been out of the facility to a doctors appointment and did not feel like taking a shower. There was no evidence to support staff offered to shower Resident #132 on any other days during this time frame. An additional review of the medical record found a Significant Change MDS with and ARD of 12/18/14 which indicated Resident #132 required physical help in part of the bathing activity and was unable to perform the task independently. 5. Resident #132 was readmitted from the hospital to the facility on [DATE] and had not other discharges at the time of this review. Between 12/30/14 and 01/22/14 the time this review was conducted Resident #132 was scheduled to receive a shower on 12/31/14, 01/03/14, 01/07/14, 01/10/14, 01/13/14, and 01/17/14. A review of Resident #132's ADL record for 12/30/14 through 01/22/14 found Resident #132 received a shower on 01/13/14. There were no documented refusals of showers during this time frame. Therefore, Resident #132 received and/or was offered one (1) of her six (6) scheduled showers. Further review of Resident #132's medical record found a Significant Change MDS with an ARD of 01/06/15 which indicated Resident #132 required physical help in part of the bathing activity and was unable to perform the task independently. 6. The Director of Nursing (DON) was interviewed at 1:43 a.m. on 01/26/15, confirmed all resident showers should be documented on the ADL record. She was asked to review the ADL record for Resident #132 since he date of admission on 09/23/14. The DON reviewed the ADL record and confirmed Resident #132 was not receiving her showers as scheduled. She indicated she would have the staff give her a shower today. The DON stated if a resident refused a shower and requested one to be given the next day, the nurse aides should honor that request. She stated the schedule was something the staff went by, but if a resident requested as shower on a different day, the nurse aides were expected to honor the resident's request. | 2018-08-01 |