| 91 |
ORONO COMMONS |
205031 |
117 BENNOCH RD |
ORONO |
ME |
4473 |
2017-06-12 |
514 |
B |
1 |
0 |
1HKG11 |
> Based on record review and interview, the facility failed to ensure that the clinical record for 4 of 7 sampled residents (#1, #2, #3 and #6) reviewed for bathing/showers and range of motion was complete, accurate, and consistent with the resident plan of care. Findings: 1. The facility's shower schedule indicated Resident #1 was scheduled to receive a shower on Mondays. Documentation indicated Resident #1 did not receive a shower or bath from 5/8/17 until 6/1/17. Documentation indicated that Resident#1 has not received a bath again since 6/1/17. In an interview with the surveyor on 6/12/17 at 10:55 a.m., Resident #1 indicated that he/she would like to have a shower but had not been offered one. 2. The facility's shower schedule indicated Resident #2 was scheduled to receive a shower on Wednesday evenings. Documentation indicated Resident #2 did not receive a shower or bath from 5/11/17 through 5/24/17, and in June, the resident received a bath on Saturday, 6/3/17 only. In an interview with the surveyor on 6/12/17 at 9:50 a.m., Resident #2 indicated that he/she would like to have a shower but had not been offered one. 3. The facility's shower schedule indicated Resident #6 was scheduled to receive a shower on Friday evenings. Documentation indicated Resident #6 received 1 shower on Sunday, 4/9/17 and did not receive a shower again until Monday, 5/15/17. 4. Resident #3's care plan, dated 5/15/17, directed the staff to provide range of motion to the resident's bilateral legs due to functional decline. There was no documentation in the resident's record to indicate staff provided range of motion to the resident's legs between 6/1/17 and 6/12/17. On 6/12/17 at 2:30 p.m., the surveyor confirmed with the Nurse Manager that there was no evidence that range of motion was provided to Resident #3. 4. Resident #6's care plan, dated 5/3/17, directed staff to provide passive range of motion (PROM) to the resident's right and left upper and lower extremities, 10 repetitions each twice daily. The documentation indicated that Resident #6 received PROM on 4/1/17 for 5 minutes, twice on 4/12/17 for 10 minutes and 5 minutes, 5/26/17 for 15 minutes, 6/1/17 for 10 minutes, and twice on 6/10/17 for 10 minutes each time. The resident received PROM for a total of 3 out of 60 shifts in April, (YEAR), on 1 out of 62 shifts in May, (YEAR), and on 2 out of 24 shifts in June, (YEAR). On 6/12/17 at 4:10 p.m., in a discussion with the surveyor, the Nurse Manager confirmed that documentation indicated Resident #6 did not receive PROM as required by her Restorative Nursing Program, and that Residents #1, #2, and #6, had not received regular baths or showers as had been scheduled. |
2020-09-01 |