cms_AK: 96
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 96 | PROVIDENCE TRANSITIONAL CARE CENTER | 25018 | 910 COMPASSION CIRCLE | ANCHORAGE | AK | 99504 | 2018-07-13 | 679 | E | 0 | 1 | FK4811 | Based on observation, interview and record review the facility failed to ensure support of resident participation in activity programs that included a variety of facility-sponsored group and individual activities based on individual assessment, care plan, and preference for 2 residents (#s 194 and 195), of 17 sampled residents reviewed. This failure practice placed residents at risk for boredom, loneliness, and decreased quality of life. Findings: Observation on 7/9/18 at 10:00 am, revealed one resident participating in the scheduled activity, Wheel Chair Exercise, alone. Observation on 7/9/18 at 11:39 am, revealed two residents in the common area. One Resident (#4) was observed to tell the other resident that it was time for Bible Study, the scheduled activity. Announcement of the activity overhead or staff efforts to ensure resident participation were not observed. Observation on 7/10/18 at 9:25 am, revealed the Activities Assistant (AA) coming in to the common area and starting the scheduled wheel chair exercise video. The AA did not leave the area to encourage or invite residents to the activity. A Resident arrived in the common area shortly after and the AA set up cards to play 1:1 (one to one). Observation on 7/10/18 at 10:00 am, revealed only one un-sampled Resident participating in the scheduled bible study group with the Pastor. No announcement of the activity or staff effort to invite residents to participate was observed. After 15 minutes, the Resident was taken out of the group to go to physical therapy. During an interview on 7/10/18 at 10:25 am, Certified Nursing Assistant (CNA) #1 stated it was the person performing the activity who is responsible for going around and asking the residents if they want to participate. During an interview on 7/10/18 at 11:00 am, the Pastor for bible study stated there was consistently poor participation in his groups because of all the therapy that is taking place at that time. He stated he was mainly responsible for inviting Residents to his group and rarely sees staff invite residents or encourage participation. Resident #194 Record review of Resident #194 care plan on 7/9-11/18 revealed that Activity staff were to invite, assist, and provide 1:1 activities for the Resident. Record review of Resident #194's care plan, last updated on 7/9/18 revealed the Resident would like individual activities because Resident has difficulty communicating and feels lonely, isolated and depressed. Listed approaches included inviting and assisting Resident to participate in activities and to engage Resident in 1:1 activities, provide music, outdoor time, and pet visits. Random observations from 7/9-13/18 revealed Resident #194 in bed with the TV on. No 1:1 activity interactions by facility staff were observed. Observation of facility activities on 7/11/18 at 4:00 pm, revealed a music activity in the common area. Two dogs were observed present on the unit, one belonging to a staff person, and the other visiting the facility. Residents present in the activity room were observed interacting with the dogs. Interview on 7/12/18 with a visitor that spent most of the past two days with Resident #194 stated no activities staff had been by to offer Resident activity choices. The Resident had not visited with the animals that were present on the unit the previous day. Record review of Resident # 194's Activity Notes from 7/3-10/18 revealed two entries, with no description other than active participation for 1:1 visitation for the week. During an interview on 7/11/18 at 9:30 am, the AA stated that physical therapy activities took priority over activities. The AA stated that they knew which activities each resident enjoys but they were still supposed to invite them to activities. The AA stated the CNA staff role was primarily to help accommodate and transport residents to activities, but the invitations were the activities staff responsibility. The AA stated that the activities were posted on the units in the common area and that they were given a calendar of activities and residents know what time each activity is occurring. Resident #195 Interview on 7/12/18 at 9:15 am, Resident #195 stated that he/she had not participated in any activities since admission on 6/27/18. Resident #195 stated they had no recall of meeting an activities staff and nobody had never come to encourage/invite participation in any activity or provided a 1:1 activity. Record review of Resident #195's care plan on 7/9-11/18 revealed that Activity staff were to invite, assist, and provide 1:1 activities for the Resident. | 2020-09-01 |