cms_ID: 23
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 23 | BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION | 135007 | 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 2019-03-01 | 625 | D | 0 | 1 | U2XH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on family and staff interview, policy review, and record review, it was determined the facility failed to ensure a bed-hold notice was provided to a resident and/or their representative upon transfer to the hospital. This was true for 2 of 2 residents (Resident #12 and #25) who were reviewed for transfers. This deficient practice created the potential for harm if residents were not informed of their right to return to their former bed/room at the facility within a specified time and may cause psychosocial distress if not informed they may be charged to reserve their bed/room. Findings include: The facility's Bed-Hold Notice Upon Transfer policy, dated 8/2018, documented the following: * In the event of an emergency transfer of a resident, the facility will provide within 24 hours, written notice of the facility's bed-hold policies. * The facility will keep a signed and dated copy of the bed-hold notice information given to the resident and/or resident representative in the resident's file. 1. Resident #25 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. A progress note, dated 2/11/19, documented Resident #25 was transferred to the emergency room for evaluation and treatment. The note documented Resident #25's wife was called and notified of the transfer. Resident #25's record did not include documentation he or his representative received a bed-hold notification when he was transferred to the hospital. On 2/27/19 at 1:23 PM, Resident #25's wife stated the facility did not talk with her about holding her husband's bed for his return. She stated she did not remember having signed a bed-hold notice. A bed-hold notice was not found in Resident #25's record. On 2/27/19 at 3:15 PM, the Patient Financial Counselor stated, We tell the resident verbally that we will do a bed hold. We don't have anything in writing. 2. Resident #12 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. a. A progress note, dated 1/7/19, documented Resident #12 was observed to be anxious at the nurses' station. He was hitting his head with both fists. Resident #12 stated he was going to try and kill himself. Resident #12 agreed to physician notification and inpatient psychiatric observation, if needed. A physician's orders [REDACTED].#12 to an inpatient hospital psychiatric unit for [MEDICAL CONDITION]. On 1/7/19, Resident #12 was transferred to an inpatient hospital psychiatric unit for treatment. b. A progress note, dated 2/3/19, documented Resident #12 verbalized suicidal intent to staff. A physician's orders [REDACTED]. On 2/3/19, Resident #12 was transferred to an inpatient hospital psychiatric unit for treatment. Resident #12's record did not document Resident #12, or his representative was provided with the facility's bed-hold policy information for either transfer. On 2/27/19 at 2:35 PM, RN #3 stated when a resident was transferred, she called the family and sent the chart and a copy of the MAR indicated [REDACTED]. She stated she did not know about providing written bed-hold information. On 2/27/19 03:15 PM, the Patient Financial Counselor stated the facility told Resident #12 verbally about the bed hold policy at the time of the transfers. However, the facility did not have documentation Resident #12 was notified about the facility's bed hold policy for either transfer to the hospital. | 2020-09-01 |