cms_DC: 100
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
100 | SERENITY REHABILITATION AND HEALTH CENTER LLC | 95015 | 1380 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 2018-10-23 | 689 | G | 1 | 0 | FXOI11 | > Based on staff and resident interviews and record review for three (3) of three (3) residents, it was determined that facility staff failed to utilize two (2) persons to assist with bed mobility. Subsequently, Resident #1 fell out of bed, sustained a laceration to the forehead and was subsequently sent to the hospital by 911. The findings include: Resident #1 was admitted to the facility on (MONTH) 11, (YEAR). According to the Minimum Data Set (MDS) assessment with a target date of (MONTH) 19, (YEAR), Resident #1 scored 9/15 on the Brief Interview for Mental Status in Section C (Cognitive Patterns). Resident #1 was assessed as requiring extensive assistance with two person assist for bed mobility (Item GO110A on the MDS) in Section G (Functional Status) Resident #2 was admitted on (MONTH) 9, (YEAR). According to the MDS with a target date of (MONTH) 16, (YEAR) Resident #2 scored 15/15 for the Brief Interview for Mental Status in Section C (Cognitive Patterns). According to the MDS 3.0 User's Manual page C-14 a score of 13-15 suggests the resident is cognitively intact. Resident #2 was assessed as requiring extensive assistance with two person assist for bed mobility in Section G (Item GO110A on the MDS). Resident #3 was admitted on (MONTH) 30, 2010. According to the MDS with a target date of (MONTH) 21, (YEAR), Resident #2 scored 10/15 on the Brief Interview for Mental Status in Section C (Cognitive Patterns). According to the MDS 3.0 User's Manual page C-14 a score of 8-12 suggests the resident has moderately impaired cognitive skills for daily decision making. Resident #3 was assessed as requiring extensive assistance with two person assist for bed mobility in Section G (Item GO110A on the MDS). Face-to-face interviews were conducted with Residents #2 and #3 on (MONTH) 23, (YEAR) between 12:00 PM and 2:00 PM. Both residents acknowledged that they consistently receive the assistance of one (1) person for bed mobility. Residents #1, #2 and #3 utilized an air mattress. A face-to-face interview was conducted with Employee #6 on (MONTH) 23, (YEAR) at 10:00 PM. Employee #6 stated, Right after that happened, when Resident #1 fell , I gave an in-service to everyone. I stressed that every resident on an air mattress must have two persons to do care, to help with the turning of the resident. Face-to-face interviews were conducted with Employees #4 and #5 on (MONTH) 23, (YEAR) between 9:00 AM and 12:00 PM. Employee #4 cared for Resident #2 and Employee #5 cared for Resident #3 on (MONTH) 23, (YEAR). Both employees acknowledged that they assisted Resident #2 and Resident #3 with ADL care (including bed mobility) by themselves, without a second person to assist on (MONTH) 23, (YEAR). Employee #2 acknowledged that the above findings. | 2020-09-01 |