cms_WV: 7329
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7329 | LAKIN HOSPITAL | 5.1e+125 | 1 BATEMAN CIRCLE | WEST COLUMBIA | WV | 25287 | 2013-10-22 | 241 | E | 0 | 1 | TQVD11 | Based on observation and staff interview, the facility failed to maintain a dignified dining experience for residents. Meal service in several dining rooms was observed during the survey with the following concerns noted: one dining area smelled of cigarette smoke; there was no opportunity for hand cleansing prior to the meal; Resident #84 was seated at a table with three (3) other residents, but did not receive her meal until 30 minutes after her table mates; residents were seated in the dining room for an extended period of time before arrival of their meals with no pre-meal activities offered; Resident #91 stood up and said she needed to go to the bathroom, but did not receive prompt assistance to go to the bathroom; Resident #56 attempted to leave the dining room, but a staff member pulled the resident backwards, returned the resident to the table, all without speaking to the resident. This practice had the potential to affect all residents who received meals in the dining rooms. Resident identifiers: #84, #56, #91, and #78. Facility census: 87. Findings include: a) Dining room C-West Observation of the C-West dining room began at 4:35 p.m. on 10/15/13. The following were noted: -- The dining room smelled of cigarette smoke. Not all residents who ate in the dining room smoked, nor could they express whether they objected to the smoke smell. -- Residents waited for approximately 45 minutes before the first tray was served at 5:26 p.m. During this wait, there were no pre-meal activities. During the evening meal on 10/15/13, Employee #180, a health services worker was asked if there were any pre-meal activities. Employee #180 replied, It would be nice, but only fine dining gets that. -- There was no opportunity provided for residents to cleanse their hands. Some residents were brought in by staff, some walked in, and others wheeled themselves in to the rooms. Many of the residents had been in the halls for an extended period of time prior to going to the dining room and did not have access to a sink to wash their hands prior to going to meals. Some of the residents who wheeled themselves into the dining room, had used their hands to propel their wheelchairs and needed to be afforded the opportunity to clean their hands before eating. It was observed that staff cleaned their own hands with hand sanitizer, but did not provide residents with an opportunity to clean their hands before the dinner meal was served. A second meal observation was made during the noon meal on 10/17/13. Residents were seated in the dining room and waited approximately 40 minutes before the arrival of the trays at 12:02 p.m Again there were no pre-meal activities, no hand sanitation for residents, no beverages were offered (pre-meal) and the odor of cigarette smoke was strong. b) Dining room B-D Observation of the evening meal on 10/15/13 at 5:14 p.m. in the, B-D dining room found residents were not offered hand wipes or any means by which to wash their hands prior to the meal. This procedure did not enhance the residents' dignity during meals by allowing them to eat with unclean hands. This observation was discussed with the director of nursing, Employee #6, on the morning of 10/22/13 at which time she was in agreement that residents should be afforded the opportunity to wash their hands prior to meals. c) Dining room AC An observation was conducted in the AC dining room on 10/15/13 at 5:30 p.m. Resident's #1, #19, #84, and #88 were all seated at the same table. All four (4) of these residents required total assistance with eating. Resident's #1, #19, and #88 were served their trays at 5:30 p.m. and were being fed by Employees #40, #77, and #81 (all Health Service Workers). Resident #84 did not receive her tray until 6:00 p.m., after the other residents at her table had finished their meal. An interview with Employee #70, a licensed practical nurse, on 10/15/13 at 6:00 p.m., revealed all residents seated at the same table in the dining room should be served and fed at the same time. This employee stated she did not realize Resident #84 had not been served or she would have served and fed her. An interview was conducted with Employee #81, a health services worker, on 10/15/13 at 6:15 p.m. This employee stated All residents are normally served and fed at the same time however today was a little chaotic. d) Resident #91 During an observation on 10/15/13 at 5:50 p.m. in the A dining room, Resident #91 stood up from the table and an alarm started to sound as she started to walk away. The health service worker (Employee #81) was observed to be sitting close by, feeding another resident. She got up and approached this resident and instructed her to sit back down. The resident stated I have to go to the bathroom. Employee #91 replied to the resident that she needed to sit down until someone could help her. The resident then stated I think I am going to have a bowel movement. The health service worker again told the resident that she needed to sit back down until someone could help her. She assisted the resident back to her chair and when she sat her down the alarm stopped sounding. Employee #81 then went back to feeding the other resident and did not ask anyone to assist this resident to the bathroom. Resident #91 was observed in the dining area another ten (10) minutes, until 6:00 p.m., sitting in her chair staring straight ahead. The licensed nurse (Employee # 70) was assisting residents in the dining room and was made aware of this observation. She immediately approached the resident and ask her if she needed to go to the restroom. The resident stated No I do not need to go now. The nurse told the resident she would assist her and the resident again said no. The nurse agreed that the health service worker should not have told this resident to sit back down and not had someone take her to the restroom when she requested. The Director of Nursing (Employee #6) was made aware of this observation on 10/17/13 at 3:00 p.m. She agreed that the health service worker did not respond to this resident's request appropriately. e) Resident #56 During an observation of the middle A wing dining room on 10/15/13 at 6:00 p.m., Resident #56 was observed sitting in a geri-chair. She had completed her meal and was attempting to leave the dining room. She was observed moving her geri-chair with her feet and was partially out the door. At that time, the health service worker (Employee #81) was observed to stop feeding the resident she was assisting in the dining room. She grabbed Resident #56's chair from the back without saying a word to the resident to inform her she was going to move her. She then pulled the resident's chair backwards without speaking to the resident and put her back at the table where she had been sitting. The health service worker did not speak to the resident or tell her what she was doing. The health service worker then resumed feeding the other resident without ever speaking to Resident #56. It was determined that pulling the resident's chair backwards without speaking to her, or telling her what she was doing, and placing her back in the dining room at the table, was not treating the resident with respect and dignity. The Director of Nursing (Employee #6) was made aware of the dining room observations on 10/17/13 at 3:00 p.m. She agreed that not speaking to the resident and telling her what you are going to do prior to pulling her backwards was not treating the resident in a dignified manner. f) Resident #78 During a lunch meal, on 10/16/13, at 11:30 a.m., a health service worker (HSW) was assisting Resident #78 with his meal. Observation from 11:30 a.m. until 11:55 a.m. revealed no evidence of communication between the resident and the staff member. After Resident #78 completed his meal, the HSW assisted another resident, and did not converse with him either. | 2017-06-01 |