| 28 |
BELLA TERRA OF BILLINGS |
275020 |
1807 24TH ST W |
BILLINGS |
MT |
59102 |
2018-03-21 |
550 |
E |
1 |
0 |
U1E811 |
> Based on interview and record review, the facility failed to ensure resident preferences were met for bathing for 5 (#s 5, 6, 8, 9, and 10) of 11 sampled residents. Findings include: 1. During an interview on 3/19/18 at 3:30 p.m., resident #5 said he was currently receiving two showers a week. Resident #5 said he wanted two showers a week, and he and NF1 had addressed that he had not consistently recieved two showers a week with the facility, repeatedly. Resident #5 said (MONTH) (YEAR) had been bad, and (MONTH) and (MONTH) of this year (2018) had been bad too (related to the provision of showers). Review of resident #5's Quarterly MDS, with an ARD of 12/5/17, showed the resident needed total assistance of two staff for bathing. During an interview on 3/20/18 at 3:35 p.m., NF1 said she and resident #5 had discussed his bathing preferences with the facility several times. NF1 said she thought residents were not getting bathed, based on their preferences, due to the facility not having shower aides available. Review of resident #5's Bath Aide Skin Assessment records, showed the resident had a bath on 9/11/17 and another one on 9/20/17. The resident went eight days without a bath. Review of resident #5's care plan failed to show the resident's bathing preferences, which was for a shower twice a week, had been identified by the interdisciplinary team. 2. During an interview on 3/21/18 at 7:45 a.m., resident #6 said she had gone nine days between showers. Resident #6 said she liked to have at least 2 showers per week due to her bowel incontinence. Resident #6 said she did not like to smell of body odor, feces or to have greasy hair, and she showered every day when she lived at home. Resident #6 said she would still like to have a shower every day but knew that was not possible. She had made the facility aware of her preference for two showers per week. Review of resident #6's Annual MDS, with an ARD of 1/2/18, showed the resident had not received a shower or bath in the seven day look back period. Review of resident #6's Quarterly MDS, with an ARD 10/3/17, showed the resident was total assistance of one staff for bathing. Review of resident #6's Bath Aide Skin Assessment records, for (MONTH) and (MONTH) (YEAR), showed the resident had a bath on 9/5/17 and another one on 9/17/17. The resident went 11 days without a bath. The resident had a bath on 9/29/17 and another on on 10/8/17. The resident went eight days without a bath. Review of resident #6's care plan failed to show the resident's bathing preferences of twice a week had been identified by the interdisciplinary team. 3. During an interview on 3/19/18 at 1:15 p.m., resident #8 said he had been getting a shower once a week lately. Resident #8 said, Awhile back we were having problems getting a shower once a week because there was no shower aide. Resident #8 said he would like to have shower more frequently than once a week, but is happy if he receives one a week. Review of resident #8's Quarterly MDS, with an ARD of 9/26/17, showed the resident had not received a shower or bath in the seven day look back period. Review of resident #8's Quarterly MDS, with an ARD of 12/26/17, showed resident #8 was a partial physical assistance of one staff for showers. Review of resident #8's Bath Aide Skin Assessment records, for (MONTH) and (MONTH) (YEAR), showed the resident had a bath on 9/6/17 and another one on 9/19/17. The resident went 12 days without a bath. Review of resident #8's care plan failed to show the resident's bathing preferences. 4. During an interview on 3/19/18 at 2:25 p.m., resident #9 said she generally gets a bath twice a week. Resident #9 said in (MONTH) of (YEAR) it was touch and go for awhile. Resident #9 said her baths were not twice a week in (MONTH) and (MONTH) of (YEAR). Resident #9 said she thought the bath aide had quit. Resident #9 said she preferred to have a bath every other day but was happy when she got two a week. Review of resident #9's Quarterly MDS, with an ARD of 2/13/18, showed the resident was total assistance of two staff for bathing. Review of resident #9's Bath Aide Skin Assessment records, for (MONTH) and (MONTH) (YEAR), showed the resident had a bath on 9/11/17 and another bath on 9/21/17. The resident went nine days without a bath. Review of resident #9's care plan failed to show her bathing preferences had been addressed by the interdisciplinary team. 5. During an interview on 3/19/18 at 2:40 p.m., resident #10 said she usually got a bath twice a week. Resident #10 said (MONTH) and (MONTH) of (YEAR) said she did not get baths twice a week. Resident #10 said she did not think the facility had a bath aide then. Resident #10 said she thought the facility had some problems in (MONTH) and (MONTH) of last year (2017) too. Resident #10 said she preferred to have a bath two times a week. Review of resident #10's Quarterly MDS, with an ARD of 1/2/18, showed resident #10 was total assistance of one staff for bathing. Review of resident #10's Bath Aide Skin Assessment records, for (MONTH) and (MONTH) (YEAR), showed the resident had a bath on 9/11/17 and another bath on 9/19/17. The resident received a shower on the eighth day. These bath records showed resident #10 had a bath on 9/22/17 and another bath on 10/3/17. The resident received a bath on the eleventh day. Review of resident #10's care plan failed to show her bathing preferences had been addressed by the interdisciplinary team. A review of the facility's policy, Shower and Hygiene, showed, 1. Administer resident shower once weekly and/or as often as necessary. 2. If reasonably practicable, try to accommodate resident's preference in the shower schedule. The facility's policy does not address the need to care plan the resident's shower preferences to create a more personal and individualized care plan for the residents. |
2020-09-01 |