cms_WY: 39
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
39 | GRANITE REHABILITATION AND WELLNESS | 535013 | 3128 BOXELDER DRIVE | CHEYENNE | WY | 82001 | 2018-10-12 | 689 | D | 0 | 1 | P2JJ11 | Based on observation, medical record review, family and staff interview, the facility failed to ensure the care plan was followed concerning safety interventions for 1 of 4 sample residents (#30) identified with fall issues. The findings were: Observation on 10/8/18 at 4:46 PM showed resident #30 was in bed in a low position with a fall mat by the bed. Interview with a family member of the resident at that time showed the resident had fallen in the past, and the fall mat was a safety intervention the facility had added to lessen the risk of injury if the resident fell out of bed. Review of the care plan showed a 1/1/18 plan that addressed the resident's risk of falls. The plan had been revised several times, and included the intervention Lip mattress on floor by bedside to set parameters when in bed. The following concerns were identified: a. Observation on 10/11/18 from 2:09 PM through 5:51 PM showed the resident was asleep in bed with the bed in a low position. However, the required lip mattress was not on the floor. A fall mat was behind the bed against the wall and not on the floor by the bedside. There were no visitors or staff with the resident during the observation period. b. Interview with unit manager #1 on 10/11/18 at 5:51 PM confirmed the resident's lip mattress (or fall mat) should have been on the floor beside the bed for safety as per the care plan. | 2020-09-01 |