cms_ME: 39
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
39 | BARRON CENTER | 205011 | 1145 BRIGHTON AVE | PORTLAND | ME | 4102 | 2018-12-07 | 641 | C | 0 | 1 | OYJ711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on electronic medical records review and interviews, the facility failed to ensure that a Minimum Data Set, version 3.0 (MDS)was accurately coded for restraints in 3 of 4 residents reviewed for restraints (Residents #70, #76 & #140). Findings: 1. Review of Resident #70's electronic charting revealed completion of a Side Rail/Restraint assessment dated [DATE] which noted Resident uses 1/4 rails for mobility assist, not considered a restraint. Resident #70's quarterly MDS assessment dated [DATE], was inaccurately coded in Section P: Restraints to reflect the use of a restraint. 2. Observation of Resident #76's bed noted bilateral 1/4 rails. In an interview with the Nurse Manager, the Surveyor confirmed that the 1/4 rails are not a restraint. Resident #76's quarterly MDS assessment dated [DATE], was inaccurately coded in Section P: Restraints to reflect the use of a restraint. 3. Review of Resident #240's electronic charting reveals completion of a Side Rail/Restraint assessment dated [DATE] which notes Resident uses 1/4 rails for mobility assist, not considered a restraint. Resident #140's annual MDS assessment dated [DATE], was inaccurately coded in Section P: Restraints to reflect the use of a restraint. On 12/6/18 between 9:00 a.m. and 9:30 a.m., the two MDS Coordinators, in an interview with the two Surveyors stated that there are no residents in house with a restraint nor are there residents who cannot get out of bed around their side rail. The Surveyors confirmed the findings at the time of the interview. | 2020-09-01 |