cms_AK: 59
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 59 | WRANGELL MEDICAL CENTER LTC | 25015 | P.O. BOX 1081 | WRANGELL | AK | 99929 | 2018-04-30 | 609 | D | 0 | 1 | O8F911 | Based on record review and interviews the facility failed ensure alleged verbal abuse occurring with 1 resident (#10), out of 8 sampled residents, was reported to the State Survey Agency. This failed practice placed resident at risk for further mistreatment, undo stress/suffering and less than optimal psychosocial environment. Findings: Record review on 4/23-27/18, of Resident #10's care plan, dated 2/12/18, revealed he/she was wheelchair bound and requires mechanical lift (machine used to move a resident), using 2 staff members for transfers. During an interview on 4/25/18 at 1:28 pm, Resident #10 stated that CNA #3 was helping him/her, slipped, and caused the bar of the mechanical lift to hit the area above the Resident's right eye. The Resident had requested CNA #4 to help him/her instead. The Resident further stated that CNA #3 got frustrated, took off his/her gloves, threw them in the trash can and in a raised voice said, I am never going to help you again. Furthermore, the Resident stated a separate event occurred when a Licensed Nurse (LN) asked CNA #3 to help get Resident #10 into bed. Resident #10 stated he/she saw CNA #3 whisper in the LN's ear and left the area. This was immediately followed by the LN obtaining another CNA to help the Resident that day. Resident #10 stated this event made him/her feel like CNA #3 did not want to work with him/her. During an interview on 4/27/18 10:30 am, the Chief Nursing Officer (CNO) stated the process for staff reporting was that the nurse makes a report, writes up the incident, and then provides the report to the CNO. The CNO further explained she has 5 days to do an investigation and report to state. The CNO stated she was informed that Resident #10's head was bumped by the mechanical lift and the Resident requested a different CN[NAME] She continued to state it was her understanding that CNA #3 removed his/her gloves and stated he/she wasn't going to help anymore. When asked about the manner in which CNA #3 spoke to the Resident, the CNO stated she was unaware that CNA #3 spoke to Resident #10 in a raised voice. The CNO concluded by stating the facility had not filed a report with the State Survey Agency and the occurrence happened more than 5 days prior to the interview. During an interview on 4/27/18 at 2:00 pm, CNA #4 stated he/she was going to help Resident #10 with a transfer when he/she approached the door and noted that CNA #3 had accidently bumped the Resident's forehead with the mechanical lift. Next CNA #4 stated the Resident requested that he/she should assist instead of CNA #3. CNA #4 further stated that CNA #3 became very angry and proceeded to throw his/her gloves into the trash and stated to the Resident I won't help you again. The CNA concluded he/she immediately reported the incident to the CNO. Review of Wrangell Medical Center's Policy and Procedure of Incident/Adverse Reporting Policy, dated 4/2017, revealed Any incident involving a patient/resident that involves alleged mistreatment, abuse, or neglect, misappropriation of property, injury of unknown origin or unwitnessed falls will be reported within 24 hours to the State of Alaska Department of Health and Social Services, Certification & Licensing. | 2020-09-01 |