cms_DC: 47
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 47 | SERENITY REHABILITATION AND HEALTH CENTER LLC | 95015 | 1380 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 2019-03-27 | 561 | D | 1 | 0 | 60IX11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff and resident interviews for one (1) of four (4) residents, it was determined that facility staff failed to respect Resident #1's request to remain in bed. The findings include: Resident #1 was admitted to the facility on (MONTH) 15, 2013. According to the Minimum Data Set (MDS) assessment with a target date of (MONTH) 19, (YEAR), Resident #1 scored 12/15 on the Brief Mental Interview for Mental Status in Section C (Cognitive Patterns). According to the MDS 3.0 User's Manual page -14, a score of 8-12 suggests that the resident has moderately impaired cognitive skills for daily decision making. Resident #1 was assessed as requiring supervision for eating, extensive assistance for bed mobility, transfers, dressing and totally dependent for personal hygiene, toilet use and bathing in Section G (Functional Status). Disease [DIAGNOSES REDACTED]. According to a nurse's note dated (MONTH) 3, (YEAR) at 16:38 (4:38 PM): (Resident#1) met his/her goal of improving his/her strength to be out of bed, and maintaining his/her flexibility, but still requires lots of encouragement. Will monitor for needed intervention as needed. A telephone interview was conducted with Employee #1on (MONTH) 21, 2019 at 2:00 PM: I washed him/her up and got him dressed and he/she asked me to let him/her stay in bed. I said okay and got him/her all cleaned up and left him/her in bed. About eleven o'clock the charge nurse said to get (Resident #1) up to weigh him/her. I was transferring (Resident #1) to the wheelchair and he/she scratched me on my neck. He/she didn't want to get up out of bed and I had promised him/her I wouldn't get him/her up. But the charge nurse and the dietician told me I had to get him/her up. (Resident #1) was a very easy transfer with one person if he/she cooperates. When he/she doesn't want to do anything he/she will fight and scratch . Employee #1 wrote and signed the following statement dated (MONTH) 5, (YEAR): I, (Employee #1) had the 1st group. I was doing my AM care to (Resident #1). I promised him/her I will not bring him/her out of bed before he/she allows me to take care of him/her. I wash him/her and shave him/her then dress him/her up in the bed. I fulfill the promise I made to him/her around three hours. My nurse told me to bring him/her out for weigh him/her. I went to bring him/her out of bed. I put him/her in sitting position to put him/her in his/her chair (wheelchair). He/she start fighting me and scratch me at my neck. To prevent him/her from falling I quickly put him/her in his chair (wheelchair). I said to him/her don't do that again. See you scratched my neck. With angry voice the lady (Employee #3) at the door asked me What is it? I told him/her he/she scratched my neck when putting him/her in his/her chair. I learn my voice was high when I said Don't do that with anger of pain at my neck. I hold him/her and say Don't scratch people. I do not hit him/her that is all what happened. Resident #1 requested to remain in bed. Employee #1 had agreed to that request. Employee #1 was directed to get Resident #1 out of bed, against his/her wishes at the direction of the charge nurse. There was no evidence that Employee #1 relayed Resident #1's request to remain in bed to the charge nurse. Facility staff failed to respect Resident #1's request to remain in bed. A face-to-face interview was conducted with Employee #2 on (MONTH) 4, 2019 at 9:30 AM, who acknowledged the above. | 2020-09-01 |