cms_AK: 14
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14 | KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE | 25010 | 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 2018-08-03 | 689 | E | 0 | 1 | RHGS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure the adequate supervision for 1 resident (#7) out of 14 sampled residents. Specifically, the facility failed to conduct a safety assessment on one resident (#7) utilizing a wheelchair to leave the facility. This finding places the resident at a potential risk for an accident. Findings: Resident #7 Record review on 7/30/18 - 8/3/18 revealed Resident #7 was admitted to the facility with [DIAGNOSES REDACTED]. Observation on 7/31/18 at 7:00 am, revealed the Resident outside the facility in a wheelchair. The Resident was observed stationary in a wheelchair on the sidewalk at the top of a steep incline needing to be navigated in order to gain access to the facility. Review of the most recent MDS (Minimum Data Set, a federally required nursing assessment) assessment, a significant change assessment dated [DATE], revealed Resident #7 had a BIMS (Brief Interview for Mental Status) score of 15 (a score of 13-15 means the person is cognitively intact). Further review revealed the significant change MDS assessment dated [DATE] was a result of the resident experiencing a fracture from a fall. During an interview on 8/2/18 at 15:35 pm, the Director of Nursing (DON) and Administrator (ADM) both stated no, when asked if the Resident had a safety assessment based on observations of the Resident behaviors. Additionally the DON and ADM stated no when asked if the facility had a policy for safety assessments for residents leaving the facility in wheelchairs. | 2020-09-01 |