cms_ND: 3
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3 | THE MEADOWS ON UNIVERSITY | 355024 | 1315 S UNIVERSITY DR | FARGO | ND | 58103 | 2017-05-10 | 312 | D | 1 | 1 | ZMNB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review, review of faility policy, staff interview, and resident interview, the facility failed to provide activities of daily living (ADL) assistance for 2 of 9 sampled residents (Resident #3 and #7) observed during personal cares. Failure to provide assistance with oral care (Resident #3) and incontinence care (Resident #7) may result in decreased intakes, urinary tract infections, and a loss of dignity and comfort. Findings include:- Review of Resident #3's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. Resident #3's current Minimum Data Set (MDS), dated [DATE], identified intact cognition and supervision and set up help from staff for personal hygiene. The current care plan stated, . Assist resident with applying fixadent sealer to bottom dentures daily . A nurse's note, dated 11/23/16, stated, . Patient returned from dental appt. (appointment) with upper and lower dentures. Pt (patient) was told to come back if she needs ay (sic) adjustment. Pt needs to use Fixodent with the lower denture per (provider name) . Observations on the mornings of 05/09/17 and 05/10/17 showed staff assisted Resident #3 with morning cares, but failed to assist the resident with applying denture adhesive or cue the resident to apply it herself. Observations during these times showed the resident's dentures loose when she spoke. During an interview on 05/10/17 at 10:22 a.m., Resident #3 stated, The bottom ones (dentures) are loose. I knew that was going to happen, the gums have eroded. Review of facility policy titled INCONTINENCE CARE occurred on 05/08/17. This policy, revised (MONTH) 2014, stated, . if feces present, remove with toilet paper or disposable wipe by wiping from front of perineum toward rectum. Cleanse peri-area and buttocks with cleansing agent or disposable wipe wiping from front of perineum toward rectum. Use separate area of cloth or new disposable wipe for each stroke. Gently separate labia and wash area using downward [MEDICAL CONDITION] from pubic area to rectal area. Use alternative sites on washcloth or new disposable wipe with each downward stroke. - Review of Resident #7's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. The current quarterly MDS, dated [DATE], identified extensive assistance of one for toileting and personal hygiene and always incontinent of stool. Observation on 05/08/17 at 3:45 p.m., showed two certified nursing assistants (CNAs) (#4 and #5) provided incontinence cares for Resident #7 who had visible stool on her buttocks and perineal area. The CNA (#5) wiped the rectal area from back to front three times with visible stool on the second wipe, two times with the third wipe, and four times with the forth wipe, without folding any of the wipes to ensure a clean area of the wipe was used. The CNAs (#4 and #5) placed Resident #7 onto a bed pan and she had another bowel movement. The CNA (#5) removed the bedpan and cleansed the rectal area from back to front three times with visible stool on the wipe and without folding it. The CNAs (#4 and #5) applied a clean brief and failed to cleanse the front perineal area. During interview on the morning of 05/10/17, an administrative staff member (#1) confirmed staff should complete pericares from front to back. | 2020-09-01 |