| 66 |
VALLE VISTA MANOR |
275021 |
402 SUMMIT AVE |
LEWISTOWN |
MT |
59457 |
2017-10-12 |
241 |
D |
0 |
1 |
BU9C11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure a resident had clothing available in his closet to attend the evening meal for 1 resident (#8); and failed to return laundered clothing to resident owners for two residents (#s 9 and 11) of 13 sampled and supplemental residents. This had the potential to affect all residents who receive clothing from the facility laundry. Findings include: 1. Resident #8 was admitted to the facility with [DIAGNOSES REDACTED]. Review of resident #8's care plan, with a revision date of 10/6/17, reflected staff was to anticipate the resident's needs and address them. Review of the resident #8's Admission MDS, with the ARD of 9/21/17, reflected the resident required the extensive assistance of one staff member to dress. During an observation and family interview on 10/11/17 at 5:00 p.m., resident #8 was wearing a white T-shirt and had no clothes hanging in his closet. Resident #8's family member voiced the resident did not have any clothes hanging in his closet, and this was not the first time he did not have clothes available to him from the laundry. The family member stated the resident had several pairs of sweat bottoms and shirts in the facility, and stated the resident would not want to go to dinner without a shirt on. Staff member H came into the resident's room to assist him to the evening meal in the dining room. Staff member H was told resident #8 did not have any clothes in his closet. Staff member H was told by the family member that the resident needed a shirt to go to dinner. Staff member H stated she would look in the laundry for the resident's clothing. Staff member H returned to the resident's room and stated his clothing was clean, in the laundry room, and would probably be delivered the following day. Staff member H had brought one of the resident's shirts with her. Staff member H assisted resident #8 to put on his shirt. During an interview on 10/12/17 at 9:10 a.m., staff member J stated the resident's clothing was passed on Tuesday, Thursday and Friday. Staff member J stated the resident did have clean clothes to include sweat bottoms and shirts. Staff member J stated if a resident doesn't have any clothing the CNA caring for that resident would come and let her know and she would make sure the resident had clothing to wear. Staff member K joined the interview and stated the residents should always have clothing in their closets available to wear. Staff member K stated she was not aware that residents had complained about not getting their laundry in resident council. Staff member K stated the policy and procedure was the CNA would report to the Social Service director and the Social Service director would complete a grievance or just report the concern to the laundry. Staff member K stated the facility would consider delivering resident clothing daily. During an observation of a resident group meeting held on 10/11/17 at 10:50 a.m., several residents voiced the concern that it was taking too long, up to 7 or 8 days, for laundry staff to return clothing items to the residents after they were washed. 2. A review resident #9's MDS, with an ARD of 7/7/17, showed she had a BIMS score of 15 coded on the assessment, which was cognitively intact. During a resident group meeting, held on 10/11/17 at 10:50 a.m., resident #9 stated that in some cases missing clothing items have not ever turned up again. She says after an unsuccessful visit to the laundry, when she did not find her missing clothing, she was eventually reimbursed for a few of her items by the facility, with the help of the facility's activity director. 3. A review of resident #11's MDS, with an ARD of 10/31/16, showed she had a BIMS score of 15, cognitively intact. During a resident group meeting held on 10/11/17 at 10:50 a.m., resident #11 stated that she had been missing a pair of jeans after she had sent them to the facility laundry. Several weeks went by and she saw another resident in the facility wearing the jeans. She said she recognized them by the several tiny holes she knew her jeans had. After she complained to the facility, it was arranged for her to get her jeans back. She found her name, as she had written it, on the label inside her jeans: but, underneath it, the resident who she saw wearing her jeans had written her name also. She said she questioned whether any staff efforts were being made to return laundry items to their correct owners. She stated all clothing is suppose to be labeled with the resident owner's name. |
2020-09-01 |