| 48 |
ATHENS HEALTH AND REHABILITATION LLC |
15016 |
611 WEST MARKET STREET |
ATHENS |
AL |
35611 |
2018-07-19 |
656 |
D |
0 |
1 |
OEFS11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews, record review and a review of the facility's policy and procedure titled, Person Centered Care Plans, the facility failed to ensure staff developed a comprehensive care plan for a regular diet with nectar thickened liquids. This deficient practice affected RI (Resident Identifier) #24, 1 of 29 sampled residents. Findings Include: Review of the facility's policy titled Person Centered Care Plans dated (MONTH) (YEAR) states, PURPOSE: Person centered care plans of care are developed by the interdisciplinary team, to coordinate and communicate care approaches approaches and goals of the resident,,,. RI #24 was readmitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Review of physician's orders [REDACTED]. On 7/18/18 at 8:00 AM an observation of RI 24's tray was made with EI # 4, Certified Nursing Assistant (CNA) present. EI #4 stated the resident was on nectar thickened liquids but did not know why. On 7/18/18 at 8:42 AM, RI #24's chart was reviewed with EI #2, Registered Nurse (RN) Supervisor of East I. The surveyor asked EI #2 what diet RI #24 was currently receiving according to physician's orders [REDACTED].#2 stated that from the 7/10/18 orders and readmission, the resident is on a regular diet with nectar thickened liquids. On 7/18/18 at 9:08 AM, an interview was conducted with EI #3, the Certified Dietary Manager (CDM). The surveyor asked what diet was the resident on when he was readmitted on [DATE]. EI #3 reviewed a dietary Communication Form dated 7/17/18 and said that she got a communication form from EI #2, the RN Unit Manager, putting RI #24 on a regular diet with nectar thick liquids. 07/19/18 09:38 AM an interview was conducted with EI #13, the MDS/Minimum Data Set Coordinator, The surveyor asked who is responsible for the care plan for diet changes. EI #13 stated, it is the unit manager or the person taking that order off. The surveyor asked where the care plan was for RI #24's diet for thickened liquids after readmission on 7/10/18. EI #13 said there is no care plan. The surveyor asked what was the purpose of a care plan. EI #13 stated it was to inform the resident, family and staff of the plan of care for that resident. EI #2, the RN Unit Manager was asked on 7/19/18 at 9:51 AM during an interview, what care plan was put in place on RI #24's admission on 7/10/18 regarding nectar (thickened) liquids. EI #2 stated, there should have been a care plan for a regular diet with nectar thickened liquids. Care plans were reviewed with EI #2 at this time and there was no diet care plan. The surveyor asked EI #2, after she sent a dietary communication form dated 7/17/18, what care plan did she put in place. EI #2 said she did not put a care plan in place. The surveyor asked EI #2 if she should have put a diet care plan in place. EI 2# stated, she should have. The surveyor asked what the purpose of a care plan is when there is a change in the residents care per physician's orders [REDACTED].#2 stated, So that every one knows the plan of care for that patient to ensure that the resident is receiving what the doctor has ordered. The surveyor asked was that done for RI #24. EI #2 stated, No. |
2020-09-01 |