cms_DC: 99
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 99 | SERENITY REHABILITATION AND HEALTH CENTER LLC | 95015 | 1380 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 2018-10-23 | 657 | D | 1 | 0 | FXOI11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on resident and staff interviews and record review, it was determined that facility staff failed to accurately develop a comprehensive care plan, identifying that the residents required the assistance of two (2) persons for bed mobility. Residents #1and #2 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 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 assessment with a target date of (MONTH) 16, (YEAR) 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 assessment with a target date of (MONTH) 21, (YEAR), 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 assist of one (1) person for bed mobility. A review of the care plans for Residents #1 and #2 revealed the following: Resident #1 According to the resident's admission care plan: Problem: Resident #1 has an ADL Self Care performance Deficit r/t (related to) MS, multiple wounds, [MEDICAL CONDITION]. Intervention: Bed mobility: reposition and turn resident q (every) 2 hrs while in bed for pressure relief. Problem: Resident #1 has limited physical mobility r/t MS, contractures of all extremities, limited mobility, [MEDICAL CONDITION]. Intervention: Mobility: resident requires staff participation for mobility/uses wheelchair for mobility. Monitors/document/report to MD PRN s/sx (signs/symptoms) of immobility, worsening of contractures, thrombus formation, worsening of skin-breakdown, fall related injury. Provide gentle range of motion as tolerated with daily care. PT, OT referrals as ordered. Resident #2 According to the resident's admission care plan: Problem: Resident #2 has an ADL self-care performance deficit r/t limited mobility, wound to lower extremities. Intervention: Bed Mobility: Remind resident to turn and reposition while in bed q 2 hours for pressure relief. Resident #3 Problem: Resident #3 requires total assistance for transfers related to: unsteady gait physical limitations, lack of strength. Interventions: Transfer: Requires two staff assistance when transferring. There was no care plan problem for Resident #3 that required the assistance of two persons for bed mobility. Facility staff failed to include the intervention to use two (2) person assist for bed mobility for Residents #1, #2 and #3. Employee #2 acknowledged the above finding. | 2020-09-01 |