cms_AK: 29
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 29 | KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE | 25010 | 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 2019-08-23 | 687 | D | 0 | 1 | 0OWF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation, the facility failed to ensure proper treatment and care was provided to maintain good foot health in accordance with professional standards was provided to 1 resident (#6) out of 14 sampled residents. This failed practice had the potential to cause the resident discomfort and prevent necessary foot care to prevent development of foot problems secondary to the disease process. Findings: Record review on 8/19-23/19 revealed Resident #6 was admitted to the facility with [DIAGNOSES REDACTED]. Resident #6 had difficulty walking and used a wheelchair for mobility. During an interview on 8/21/19 at 8:45 am, Resident #6 stated that he/she needed to have his/her toenails trimmed. Resident #6 stated that he/she had asked nursing staff for several months and was told a podiatrist appointment had to be scheduled. Resident #6 was concerned about his/her feet as he/she was unable to complete the task independently. Record review on 8/21/19 at 10:00 am, of Resident #6's undated, most recent care plan provided by facility staff, revealed for the problem area of Alteration in skin integrity, an intervention that Resident #6 would receive, .weekly full body skin and nail assessment by primary RN, with a start date of 2/27/19. There were no documentation of toenail assessment and findings. During an observation on 8/21/19 at 1:06 pm, Resident #6's toenails were long, some were jagged from being broken, and his/her socks caught on the jagged pieces. During an interview on 8/21/19 at 1:08 pm, when asked how often residents get nail care, Certified Nurse Assistant (CNA) #2 stated as needed. When asked if Resident #6's toenails looked like they needed trimmed, CNA #2 stated yes. During an interview on 8/21/19 at 1:10 pm, LN #4 stated that if the Resident was not diabetic, toenails could be clipped by facility staff. LN #4 further stated that nursing staff would review, and if needed, would make an appointment with the podiatrist. Podiatry appointments happen monthly. During an interview on 8/21/19 at 2:19 pm, Resident #6 stated he/she had asked for toenail care more than once, but when he/she got no response, he/she stopped asking. During an interview on 8/21/19 at 2:21 pm, the Activities Coordinator (AC) stated that toenail care was discussed quarterly at care conference meetings. The AC further stated nursing staff check on the Residents during bathing and/or cares, to assess toenail needs between quarterly conferences. When asked specifically about Resident #6, the AC stated that he/she had not had any podiatry appointments and was not on the schedule for a podiatry appointment. During an observation on 8/21/19 at 2:46 pm, of Resident #6's feet, LN #4 stated that Resident #6's toenails were long and the big toe was somewhat thickened and would need a referral to the podiatrist to get the toenails clipped. Record review on 8/21/19 at 2:52 pm, revealed no prior notes for toenail care from the podiatrist. | 2020-09-01 |