| 46 |
BOYINGTON HEALTH AND REHABILITATION |
255092 |
1530 BROAD AVE |
GULFPORT |
MS |
39501 |
2017-01-13 |
315 |
E |
0 |
1 |
QXQE11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review, and facility policy review, the facility failed to provide incontinent care in a manner to prevent Urinary Tract Infections for two (2) of five (5) incontinent care observations, for Resident #8 and Resident #13. Findings include: Review of the facility's policy titled, Perineal Care, with a date of (MONTH) 2014, revealed the purposes of the procedure was to prevent infections. Instructions for care of the female resident were to separate the labia and wash area downward from front to back, continue to wash the perineum moving outward to and including thighs, wipe the rectal area thoroughly wiping from the base of the labia and extending over the buttocks. After wiping an area, fold the washcloth or use a new washcloth or pre-moistened wipe. A review of the facility's policy titled, Infection Control Policies/Practices, with a date of (MONTH) 2014 revealed all personnel will be informed of infection control policies and practices, and any changes thereof through orientation program and regularly scheduled in-service training programs. Resident #8 Observation of Resident #8's incontinent care provided by Certified Nursing Assistant (CNA) #1 and CNA #6 on 1/12/17 at 2:05 PM, revealed CNA #1 wiped down the middle of the vagina with an area of the washcloth that was previously used to wipe with. CNA #1 also wiped the anal area and left buttock upwards five (5) times with the same area of the washcloth. An interview on 1/12/17 at 2:20 PM, revealed CNA #1 stated she was not aware of she had used the contaminated area of the cloth more than once, and she confirmed she wiped the buttocks and the anal area multiple times with the same area of the cloth. Review of the facility's Face Sheet revealed the facility admitted Resident #8 on 9/14/15 with the [DIAGNOSES REDACTED]. Review of Resident #8's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/31/16, revealed a Brief Interview for Mental Status (BIMS) score of fifteen (15), which indicated Resident #8 was cognitively intact. Further review of the MDS revealed Resident #8 was able to make herself understood, and able to understand others. Resident #8 was independent, or required limited assistance with set up, or one person physical assist with bed mobility, transfers, dressing, toilet use, and bathing. Resident #8 was occasionally incontinent of bowels, and frequently incontinent of bladder. Resident #13 An observation on 1/12/17 at 11 AM, revealed Certified Nursing Assistant (CNA) #2 and #4 provided Resident #13's incontinent care. CNA #2 cleaned each side, and the middle of the labia, and buttocks area only. CNA #2 did not clean any other areas such as the thighs, suprapubic area, groin area, perineum, or rectal area. On 11/12/16 at 3:00 PM, an interview with CNA #2 revealed she did the incorrect steps due to being nervous. CNA #2 confirmed Resident #13's labia was the only area she cleaned. CNA #2 further stated she had been checked off on incontinent care about four (4) months ago. CNA #2 confirmed the resident could get an infection of the bladder, or Urinary Tract Infection [MEDICAL CONDITION] if proper technique was not used. Review of the facility's document titled, Annual CNA Clinical Skills Checklist for the (Name of Facility), dated 7/13/16, revealed CNA #2's and an instructor's signature on the checklist which indicated CNA # 2 correctly performed perineal care. A review of the facility's document titled, Skills Check - Perineal Care - Female Resident with a date of 11/17/16, indicated CNA # 2 correctly performed pericare. Review of the facility's Face Sheet revealed the facility admitted the resident on 06/14/07. Resident #13's [DIAGNOSES REDACTED]. Review of Resident #13's MDS with an ARD of 12/14/16, revealed a Brief Interview of Mental Status (BIMS) score 14, indicating the resident was cognitively intact. Further review of the MDS revealed Resident #13 required extensive assistance with one to two (1 to 2) person physical assist with bed mobility, transfers, toilet use, dressing, and bathing. Resident #13 was always incontinent of bowel and bladder. |
2020-09-01 |