| 37 |
LEXINGTON MANOR SENIOR CARE, LLC |
255091 |
56 ROCKPORT ROAD |
LEXINGTON |
MS |
39095 |
2016-08-17 |
246 |
D |
0 |
1 |
BYHQ11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interview, and facility policy review, the facility failed to place call light within reach of a dependent resident for one (1) of 13 residents observed. (Resident #4) Findings include: Review of the facility's Call Lights policy, dated 7/14, revealed, the purpose of the procedure is to respond to the resident's requests and needs. While the resident is in bed or confined to a chair, the call light should be within easy reach. Observation of Resident #4 on 8/15/15, at 3:58 PM, revealed the resident in bed, alert and oriented. Resident #4 complained of itching all over and began feeling on top of his chest and around his bed with his hands, and was not able to locate his call light, which was located above his head, to the outer right edge of his pillow. Resident #4 said, I can't find it (call light), and confirmed he was completely blind. Staff interview and observation of Resident #4, with LPN (Licensed Practical Nurse) Staff Development Nurse #3 on 8/15/16 at 3:58 PM, confirmed the resident was not able to locate his call light. Staff interview with the Administrator on 8/15/16, at 4:05 PM, confirmed call lights should always be within reach of the resident, and confirmed that Resident #4 was blind. The Administrator said the staff who put the resident back to bed should have placed the call light within reach of the resident. Staff interview/observation with the Dietary Manager (DM) on 8/17/16, at 2:00 PM, revealed Resident #4 lying in bed, with his call light located to the upper right edge of his mattress. The DM asked the resident if he knew where his call light was located. The resident began feeling around his bed with his hands, and said, I can't find it. The DM asked him to reach up high over his bed pillow. Resident #4 held his right arm up onto his pillow and began feeling for the call light. The DM confirmed the resident was not able to locate his call light and that the call light was out of the resident's reach. Staff interview with the Director of Nursing (DON), on 8/17/16 at 2:15 PM, confirmed Resident #4's call light should always be within reach. Review of the facility's face sheet revealed the facility readmitted Resident #4 on 7/05/15, with [DIAGNOSES REDACTED]. Review of the Quarterly Minimum Data Set (MDS), with an Assessment Reference date (ARD) of 7/12/16, Section B 1000: Vision, revealed, 4. Severely Impaired - no vision or sees only light. Section G 0400 B: ROM (Range of Motion) triggered for Impairment on Both Sides. The Assessment revealed Resident #4 had a Brief Interview of Mental Status (BIMS) score of 8, indicating Resident #4 had moderate cognitive impairment. |
2020-09-01 |