cms_WV: 97
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 97 | HUNTINGTON HEALTH AND REHABILITATION CENTER | 515007 | 1720 17TH STREET | HUNTINGTON | WV | 25701 | 2018-04-17 | 684 | E | 1 | 0 | R6BQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review and staff interview, the facility failed to ensure that 5 of 11 sampled residents received care and treatment in accordance to the comprehensive assessment and plan of care. Heels were not floated for Resident #1, Resident #2, and Resident #4. Fall mats were not provided for Resident #7, and Resident #9. Resident identifiers: #1. #2, #4, #7 and #9. Facility census: 178. Findings included: a) Resident #2 A review of the medical record for Resident #2 revealed a physician's orders [REDACTED]. An observation made of Resident #2, while in bed, on 04/16/18, at 11:45 AM, revealed the resident's right sock was off her foot, laying on the floor, and her right heel was positoined directly on the bed. Both heels were not being floated in accordance with physician's orders [REDACTED]. An interview with the District Director of Clinical Services, on 04/17/18, at 12:15 PM, verified understanding of following physician orders [REDACTED]. b) Resident #1 A review of the medical for Resident #1, on 04/16/18, revealed a physician's orders [REDACTED]. An observation made of Resident #1, while in bed, on 04/17/18, at 07:20 AM, revealed the resident's heels were not floated in accordance with physician's orders [REDACTED]. An interview with the District Director of Clinical Services, on 04/17/18, at 12:15 PM, verified understanding of following physician orders [REDACTED]. c) Resident #7 An observation of Resident #7 on 04/17/18 at 7:20 AM, revealed a bruised area on the right side of the resident's face. A review of the medical record for Resident #7, on 04/17/18, revealed Resident #7 had sustained a fall on 04/16/18 at 10:44 AM. The facility implemented the Fall Protocol related to the fall occurrence. Resident was to have a fall mat to right side of bed. An observation made, 04/17/18 at 09:25 AM, revealed no fall mat present beside Resident #7's bed. On 04/17/18, at 09:40 AM, an interview with Staff #4 verified there was no fall mat beside Resident #7's bed. It was further stated by Staff #4, the mat should have been in place after the fall meeting and should be in place now. d) Resident #4 An observation of Resident #4, on 04/16/18 at 11:05 AM, revealed the Resident's heels were not floated. An interview with Nurse Aide (NA) #1, on 04/16/18 at 11:08 AM, revealed the Resident's heels are to be floated while in bed. A review of Resident #4's physician orders, on 04/16/18 at 12:25 PM, revealed an order for [REDACTED]. A review of the Care Plan was conducted on 04/16/18 at 1:35 PM. The Care Plan, with a creation date of 01/23/18, contained the focus the Resident has actual skin issues with the intervention Elevate bilateral lower extremities on pillows while in bed to float heels-verify placement. e) Resident #9 A random observation of Resident #9, on 04/17/18 at 8:20 AM, revealed the Resident's fall mat was off the floor beside the bed and leaned against the wall. The Resident was in bed at the time of the observation. An interview with Licensed Practical Nurse (LPN) #30, on 04/17/18 at 8:22 AM, revealed the fall mat was supposed to be on the floor beside Resident #9's bed. The LPN stated she saw the mat against the wall earlier and forgot to put it back beside the bed. The LPN stated the housekeeper must have moved it while cleaning and not put it back. A review of Resident #4's physician orders, on 04/17/18 at 10:30 AM, revealed an order for [REDACTED]. A review of the Care Plan was conducted on 04/17/18 at 10:35 AM. The Care Plan, with a creation date of 03/13/18, contained the focus the Resident has experienced an actual fall and continues to be at risk for falls with the intervention Floor mat to right side of bed-verify placement. | 2020-09-01 |