cms_AK: 23
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 23 | KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE | 25010 | 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 2019-08-23 | 600 | D | 0 | 1 | 0OWF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview and policy review, the facility failed to ensure that a resident was from free from racially directed verbal abuse by another resident for 1 resident (#6) out of 14 sampled residents. This failed practice had the potential to cause the resident to experience humiliation, shame and/or degradation. Findings: Record review on 8/19-23/19 revealed Resident #6 was admitted to the facility with [DIAGNOSES REDACTED]. During an interview on 8/21/19 at 8:14 am, Resident #6 stated that another Resident of the facility had used racially biased language directed at him/her. Resident #6 further stated that staff blew off Resident #6's concerns by making excuses for the other Resident. Resident #6 identified a single Resident as the perpetrator of the verbal abuse and stated that staff had not done anything to address the abuse or prevent it from re-occurring. Resident #6 stated that he/she was directed to avoid the perpetrator or go to his/her room if the perpetrator was present in the common areas. Resident #6 stated he/she felt insulted and abused by the racial verbal abuse and was angry that staff did not make efforts to address the abuse. During an interview on 8/21/19 at 10:00 am, Licensed Nurse (LN) #4 stated that he/she had heard of altercations between Resident #6 and the alleged perpetrator. LN #4 stated that re-direction was given to the perpetrator but that he/she often continued the behaviors despite re-direction. LN #4 did not think the language was aggressive but that the Resident perpetrator, was asking for a change in the situation by voicing his/her displeasure about living with people of a race he/she felt was undesireable. LN #4 did not know if there was an investigation or action taken to protect Resident #6 from further abuse. During an interview on 8/22/19 at 2:00 pm, the Director of Nursing (DON) stated there was not any additional policy or procedure that addressed Resident to Resident verbal, physical, emotional or sexual abuse. During an interview on 8/22/19 at 2:28 pm, LN #2 and Certified Nurse Assistant (CNA) #2 stated they were unsure of a procedure for protecting Residents against abuse from other Residents. LN #2 had not witnessed the racially based verbal abuse of Resident #6 but had heard there was an issue during shift report. LN #2 and CNA #2 both stated that the alleged perpetrator had a history of [REDACTED]. LN #2 and CNA #2 did not think it had been reported as a grievance or been through an investigation process. They felt Resident #6 was fine because he/she was cognitively intact and understood the perpetrator was not. During an interview on 8/22/19 at 4:02 pm, LN #4 stated there were no additional policies or procedures that addressed Resident to Resident verbal, physical, emotional or sexual abuse. Review of a policy and procedure entitled, State Reporting and Investigation of Suspected Abuse/Neglect of Resident and the Federal Elder Justice Act, with an effective date of 2/5/13 did not contain any information on process for Resident to Resident abuse. | 2020-09-01 |