| 74 |
THE PILLARS OF BILOXI |
255093 |
2279 ATKINSON ROAD |
BILOXI |
MS |
39531 |
2017-03-10 |
253 |
D |
0 |
1 |
U1S311 |
Based on observation, and staff interview, the facility failed to ensure a safe, and clean homelike environment for 20 of 102 resident rooms. Findings include: During the initial tour on 03/07/17, from 10:30 AM until 11:30 AM, the following environmental concerns were observed: A Hall: Room 108: The bed mattress was torn, and scuff marks were on the wall. Room 110 C: The wallpaper around the air conditioner had torn areas. Room 112 C: There was a hole in the bricks along the window. Room 123: Unable to see out of the windows on the left side due to a build up of dirt, the window sills were dirty, and the front of the air conditioner unit was off. Room 117: There was paint peeling, and scuff marks on the wall. D Hall [RM #]2 A: Knats were flying around the resident's head. [RM #]4 A: Scuff marks were on the wall behind the bed. [RM #]5 A: Scrape marks were on the wall behind the bed. Observations, and interviews during the initial tour, with Registered Nurse (RN) #6, on 3/7/17 from 11:00 AM to 12:20 PM, revealed the following environmental concerns identified on the Memory Care Unit: Room 411: There were two (2) bottles of mouthwash, and two (2) toothbrushes in a plastic cup on the back of toilet unlabeled. Interview with RN #6 at this time revealed she was unsure if it was OK. She also confirmed dementia residents could drink the mouthwash, and there was a risk of cross contamination due to the toothbrushes could get mixed up. Room 412: A empty intravenous piggy back (IVPB) medication bag was on the back of the toilet. The medication bag label revealed the IVPB was an antibiotic for (Name of Resident) in Room 412 [NAME] RN #6 stated at this time the IVPB bag should be in a biohazard container because it was an IV. Further observations revealed the bathroom shower curtain was ripped with only four (4) of the 13 curtain rings attached to the shower curtain. Room 413: There was two (2) lotions and body washes unlabeled. Room 414: There was two (2) bottles of shampoo, soap, body wash, and cleansing foam in the shower unlabeled. There was also a can of hair spray, and two (2) bottles of mouthwash unlabeled sitting on the back of the toilet. Room 415: Had empty body washes, two (2) full bottles of unlabeled body washes on the back of the toilet. The drain cover was upside down with four prongs exposed. RN #6 stated the resident in this room was dependent, and would use a chair or go to the hall shower. There was also a hole in the center of the shower. Room 416: Had two (2) unlabeled bottles of mouthwash, two (2) bottles of shampoo, two (2) bottles of lotion, and a disposable razor on the back of the sink. A light bulb was out over the sink, and there was no privacy curtain by the B bed. RN #6 revealed they didn't have two residents in here for a while, and the B bed was not occupied. Room 418: Had a torn shower curtain with four (4) of the 12 curtain rings attached to the shower curtain. The shower curtain was crooked and sagging. Room 419: Did not have a shower curtain, and a hat used to collect urine/stool specimens was on the floor. There were unlabeled bottles of shampoo and mouthwash on the back of toilet, as well as toothbrushes and toothpaste at the back of the sink. RN #6 stated it should be labeled, and in a cup. Room 421: Had a light bulb out. One of two (1 of 2) mouthwash bottles was unlabeled, and two (2) bath basins were unlabeled in the tub. There were four (4) of the pop up type air fresheners in the room. All four of the air fresheners were dried up, or partially dried up. RN #6 stated she thought the family members brought the air fresheners. Room 426: Had unpackaged, unlabeled toothswabs, toothbrushes in a kidney shaped basin. The shower only had four (4) of 11 curtain rings hanging. Room 424: Had two (2) unlabeled bottles of shampoo, two (2) unlabeled urine/stool hats in the shower. RN #6 stated she was unsure why because the resident was incontinent, and there was only one resident in this room. On 3/7/17 at 11:58 AM, an observation, and interview in Room 119 with Licensed Practical Nurse (LPN) #3, revealed a shower chair in the the resident's shower with a meal tray containing a plate of food. The tray had large unidentified food particles, and fruit flies circling and landing on the plate. The meal ticket on the plate was dated 03/05/17. LPN #3 stated at this time anyone who sees it is responsible to pick them up. ` During an interview on 03/07/17 at 12:01 PM, Housekeeping Staff #1 confirmed the findings, and said she did not see the plate in the shower. She said if she had seen it, she would have removed it from the room. On 03/08/17 at 8:45 AM, an environmental walk through was done with the Maintenance Director. He acknowledged the aforementioned issues with the environment. He further revealed he was in the process of hiring an additional maintenance worker. On 03/08/7 at 1:30 PM, an interview with the Director of Nursing (DON) revealed she was asked about the used IV bag and unlabeled items. She revealed the IV bag should have been disposed of in a red bag. The residents' personal items should have been labeled, put in a plastic bag in the drawer, or behind the sink. |
2020-09-01 |