cms_DC: 40
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40 | WASHINGTON CTR FOR AGING SVCS | 95014 | 2601 18TH STREET NE | WASHINGTON | DC | 20018 | 2018-09-26 | 656 | D | 0 | 1 | PSFH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, and staff interview, the facility failed to develop and implement an individualized care plan to meet the needs of the resident in two (2) of 38 resident records reviewed (Residents' #167 and 108). Findings included . [NAME] Resident #167 was admitted with a past medical history including Dementia. Review of the Minimum Data Set ((MDS) dated [DATE] showed Brief Interview for Mental Status (BIMS) score of 1, indicating severe cognitive deficit. The surveyor conducted a tour of unit 2 Orange on 09/19/18 at approximately 10:00AM. During the observation Resident #167 was observed seated in a wheelchair in her room facing the hallway. The surveyor conducted another tour on 09/20/18 at approximately 11:00 AM. Resident #167 was again observed seated in a wheelchair in her room, facing the hallway. Later on the in the afternoon at approximately 2:00 PM, the Resident was seen sleeping in her bed. On 09/25/18 at approximately 11:30AM, Resident #167 was again seen seated in her wheelchair, facing the hallway. Review of section F of the MDS dated [DATE], showed that listening to music and participating in her favorite activities, is very important. Doing things with groups of people and going outside to get fresh air while the weather is good, is somewhat important. Review of the Activities care plan for Resident #167, last reviewed on 05/08/18 shows that the resident prefers activities that identify with her prior lifestyle. The goal is that the Resident will express satisfaction with her daily routine and leisure activities. However, the activity preferences are not listed, and the approaches are not individualized to meet the needs of the resident. The surveyor conducted a face to face interview on 09/25/18 at 12:06 PM with Employee #11, Nurse Manager for 2 Orange, regarding the Activity plan for Resident #167. She stated that Resident #167 is non-compliant with leaving her room and from time to time the Activities staff will come by to visit her. The facility failed to develop a care plan was individualized with goals and approaches to meet the needs of the resident. The surveyor conducted a face to face interview on 09/25/18 at 12:30 PM with Employee #11, and 25, and they acknowledged the findings. B. Resident #108 was admitted with a past medical history of [REDACTED]. She was admitted to 1 Blue, a locked unit designated Dementia unit. Review of the care plan that addresses her Alzheimer's/Dementia, last edited 07/17/18 showed a goal that the Resident will be reoriented to person, place and time and resident will be safe in their environment of the next 90 days.The approaches documented were: 1. Reorient resident to person, place and time as needed when confusion is noted. 2. Monitor residents whereabout in the facility to ensure safe environment. 3. Remove resident from areas where there is over stimulation that agitated or confuses resident. 4. Document declines in cognitive status in the clinical record. 5. Administer medications as ordered by MD (Medical Doctor) 6. Psych (psychiatric) evaluations as needed. The facility failed to develop an individualized person-centered care plan with goals and approaches to meet the needs of the resident. The surveyor conducted a face to face interview on 09/24/18 at 1:00 PM with Employee #26, Assistant Nurse Manager of 1 Blue. He acknowledged the findings. | 2020-09-01 |