cms_AK: 3
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3 | KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE | 25010 | 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 2017-05-19 | 242 | D | 0 | 1 | YBQY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, and interview the facility failed to ensure 2 residents (#s 7 and 9) out of 10 sampled residents were provided the opportunity to make choices significant to them and consistent with his or her interests and plan of care. Specifically, the facility failed to provide opportunities for: 1) Resident #7 to sit in the recliner in the activities room, and 2) Resident #9 to do activities such as arts and crafts, in his/her room. This failed practice had the potential to affect the residents' quality of life in general. Findings: Resident #7 Record review from 5/16-18/17 revealed the [AGE] year-old Resident was admitted to the facility with [DIAGNOSES REDACTED]. The Resident had a Personal Representative (PR) to assist in making health care decisions for him/her. Review of the most recent MDS (Minimum Data Set) assessment, a quarterly assessment dated [DATE], revealed the Resident was coded as total dependence for transfers. Additionally, the Resident was coded as having short and long-term memory problems and was moderately impaired (decisions poor; cues/supervision required) for cognitive skills for daily decision making. Review of the comprehensive care plan revealed the Problem: Alteration in cognition .Goal: Resident will be able to function to their highest level, as is compatible with their current cognition .Intervention: Offer resident choice (where to sit .) . Random observations from 5/15-18/17 revealed Resident #7 was sitting in the wheelchair for the lunch time meal and remained up until after dinner. During the observations facility staff did not offer the Resident an opportunity to relax in the recliner or other alternative seating. During an interview on 5/18/17 at 11:40 am, Resident #7's PR stated he/she would like to see the Resident in the recliner in the activity room more often. The PR stated the Resident was up in the wheelchair for a long time and sometimes fell asleep in the wheelchair. Resident #7's PR stated Resident #7 enjoyed sitting in the recliner. The PR stated he/she had asked facility staff to transfer the Resident to the recliner in the afternoon. During an interview on 5/19/17 at 10:00 am, Activities Staff (AS) #2 stated the facility staff transferred Resident #7 to a recliner if the PR requested it. AS #2 further stated Resident #7 had last used the recliner a couple weeks ago. As a result, the Resident was not constantly offered an alternative more comfortable option for seating between meals. Resident #9 Record review on 5/17-19/17 revealed Resident #9 was admitted to the facility with [DIAGNOSES REDACTED]. Further review revealed Resident #9 was previously transferred from the facility on 3/30/17 and then readmitted on [DATE]. Review of the admission MDS assessment dated [DATE], revealed the Resident was assessed for activity preferences. The Resident answered very important to the question how important is it to you to do your favorite activities? Review of the care conference notes dated 5/2/17 revealed ACTIVITIES ~ .states that (he/she) wants to do (his/her) hobbies in (his/her) room instead of activities room .enjoys creating things out of anything (he/she) can find and boarders on hoarding. Staff discussed .what could be kept, how long things could be kept, and how the room must be clean. (He/she) is very satisfied when (he/she) creates (his/her) projects. Review on 5/18/17 of Resident #10's comprehensive care plan last revised 5/3/17 revealed Problem: Additional Psych/Social Problem .Goal .Resident will be able to maintain sense of well-being by working on crafts in room . Review of the social worker notes (SW) dated 4/17/17, revealed .Concerns- When pt (patient) was discharged it was reported that pt had a lot of knives in (his/her) room, (he/she) does a lot of art work so currently (he/she) is able to use (his/her) knives in the activity room but (he/she) would like to have them in (his/her) room. (He/She) is still working with LTC management to clear these guidelines up. Further record review revealed the facility had not conducted an assessment on the Resident's ability to use scissors and/or carving knifes in a safe manner, nor had the facility explored options for safer methods. During an interview on 5/17/17 at 10:05 am, Resident #9 stated he/she was transferred to another facility for a few weeks and when he/she returned the facility no longer allowed him/her to do his/her crafts in his/her room. Resident #9 stated he/she sometimes woke at night and wants to work on his/her crafts in his/her room. The Resident stated the facility stated he/she could not have scissors or knives in his/her room and needed to do the activities in the activity room. During an interview on 5/19/17 at 9:00 am, the Charge Nurse (CN) stated the facility was still working on the issue with Resident #9 being able to do his/her arts and crafts in his/her room. The CN stated there was concern over the safety of the Resident's use of carving knives. Further record review revealed the facility had not conducted an assessment on the Resident's ability to use scissors and/or carving knifes in a safe manner, nor had the facility explored options for safer methods. Review on 5/18/17 of the facility's Resident Rights and Responsibilities revealed You have the right to .Have your needs and preferences accommodated . | 2020-09-01 |