cms_AZ: 97
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 97 | DESERT HAVEN CARE CENTER | 35062 | 2645 EAST THOMAS ROAD | PHOENIX | AZ | 85016 | 2018-03-30 | 600 | D | 1 | 1 | WXKF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record reviews, staff and resident interviews, facility documentation and policy and procedures, the facility failed to ensure one resident (#74) was free from physical abuse by another resident (#49). Findings include: -Resident #49 was admitted on (MONTH) 19, (YEAR), with [DIAGNOSES REDACTED]. An annual MDS (Minimum Data Set) assessment dated (MONTH) 21, (YEAR), included a BIMS (Brief Interview for Mental Status) score of 3, which indicated the resident had severe cognitive impairment. Review of resident #49's current care plan revealed the resident was exit seeking and displayed wandering, pacing, or roaming behaviors. The care plan included the resident required psycho-active medications to help manage mood and behavior symptoms which included hitting and combativeness. The care plan also included the resident utilized a wheelchair. -Resident #74 was admitted on (MONTH) 23, 2012, with [DIAGNOSES REDACTED]. An annual MDS assessment dated (MONTH) 27, (YEAR) identified the resident had been assessed with [REDACTED]. A review of the resident's current care plan revealed documentation that the resident demonstrates limited social interaction related to [DIAGNOSES REDACTED]. The care plan included the resident exhibited behaviors of yelling, verbal aggression towards staff and that the resident spends most of his time alone watching television and isolating self in his room. Review of the facility's investigative documentation revealed that on (MONTH) 20, (YEAR), resident #49 got up from his chair in the unit dining room and walked over to where resident #74 was seated, and slapped resident #74 on the face. An interview was conducted with a CNA (Certified Nursing Assistant/staff #35) on (MONTH) 27, (YEAR) at 11:30 a.m. Staff #35 stated that resident #74 and resident #49 were in the dining room during breakfast. Staff #35 stated she was assisting other residents in the dining room and heard resident #49 and #74 yelling at each other in Spanish. Staff #35 stated that she heard resident #74 tell resident #49 to leave him alone. She said she turned around and resident #49 hit resident #74 in the mouth. Staff #35 stated that she got between the residents and separated them. Staff #35 stated the nurse assessed the residents and the residents went back to their tables and finished their breakfast, with no further incidents. An interview was conducted on (MONTH) 27, (YEAR) at 12:00 p.m., with a LPN (Licensed Practical Nurse/staff #63). Staff #63 stated that staff #35 reported that resident #49 had left his table and wandered over to resident #49 and hit resident #49 in the mouth. Staff #63 stated she checked both residents and neither had sustained any injury. On (MONTH) 27, (YEAR) at 1:50 p.m., an interview was conducted with resident #74. Resident #74 stated that he remembered the incident that occurred on (MONTH) 20, (YEAR), in the dining room. Resident #74 stated that resident #49 came up to him and hit him in the face. Resident #74 stated he did not know why resident #49 had hit him and that he told resident #49 to leave him alone. Review of the Abuse policies revealed that the facility does not condone resident abuse by anyone, including staff members, physicians, consultants, volunteers, family members or other residents. The policy defined physical abuse as the willful infliction of injury, unreasonable confinement intimidation, or punishment with resulting physical harm, pain, or mental anguish. | 2020-09-01 |