cms_ND: 83
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 83 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2018-08-16 | 677 | E | 0 | 1 | B0I611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and family interview, the facility failed to provide dining assistance for 2 of 18 sampled residents (Resident #8 and #15) and 3 supplemental residents (Resident #39, #40, and #49) observed during meals. Failure to cue and/or assist a resident who required assistance may result in decreased intake and/or unwanted weight loss. Findings include: The facility failed to provide a policy regarding dining assistance per request. - During an interview on 08/13/18 at 11:30 a.m., when asked questions regarding the food being served and the assistance offered to residents, a family member (AA), stated, No, (there is) not sufficient staffing. It shows up in the dining room. (The residents) barely eat and (the staff) take them back to their rooms. Review of Resident #8's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. The current care plan identified, . Encourage and assist as needed to consume foods and/or supplements and fluids offered. A progress note, dated 07/21/18, identified, . Resident (#8) has been noted to have a weight loss from 106 pounds on 1/2018 to 97.4 pounds on 7/2018. Observations showed the following: * 08/13/18 at 12:22 p.m., A family member assisted Resident #8 throughout the noon meal and also provided cueing to Resident #8's tablemate. * 08/13/18 at 5:35 p.m., Resident #8 received her tray. At 5:43 p.m. (8 minutes later) an unidentified certified nursing assistant (CNA) cut her meat and potatoes into smaller pieces. No further assistance was provided, and staff later documented 26-50% intake. - Review of Resident #15's medical record occurred on all days of survey. The current care plan identified, . Encourage and assist as needed to consume foods and/or supplements and fluids offered. Observations showed the following: * 08/13/18 at 12:17 p.m., Resident #15 fed herself, demonstrating a very slow rate of intake. Staff failed to provide consistent cueing/assistance, and later documented 0-25% intake. * 08/13/18 at 5:35 p.m., Resident #15 fed herself, demonstrating a very slow rate of intake. Staff failed to provide cueing/assistance, and later documented 26-50% intake. * 08/14/18 at 8:58 a.m., Staff placed Resident #15's tray on the table in front of her, as she slept in her wheelchair. Staff failed to provide consistent cueing/assistance, and later documented 0-25% intake. - Review of Resident #39's medical record occurred on all days of survey. The current care plan identified, . Encourage and assist as needed to consume foods and/or supplements and fluids offered. Observations showed the following: * 08/13/18 at 12:22 p.m., Resident #39 called out for fish as she fed herself, demonstrating a very slow rate of intake. An unidentified CNA cut her fish into smaller pieces. A few minutes later, a second unidentified CNA observed her taking very large bites of cake and cut the cake into smaller pieces. Resident #39 was observed coughing during the meal. No further assistance was provided, and staff later documented 26-50% intake. * 08/13/18 at 5:35 p.m., Resident #39 called out for a doctor as she fed herself, demonstrating a very slow rate of intake. An unidentified CNA stated, As soon as you are done eating, (the nurse) will give you some pain medicine. At 5:45 p.m. (10 minutes later) an unidentified CNA asked Resident #39, Are you done? Okay. She made no effort to cue and/or assist Resident #39, but asked another CNA to remove her from the dining room. Staff later documented 0-25% intake. * 08/14/18 at 8:55 a.m., Staff placed Resident #39's tray on the table in front of her, as she slept in her wheelchair. Staff failed to provide cueing/assistance, and later documented 0-25% intake. - Review of Resident #40's medical record occurred on all days of survey. The current care plan identified, . Encourage and assist as needed to consume foods and/or supplements and fluids offered. Assist with meal set up. Observations showed the following: * 08/14/18 at 8:55 a.m., Staff placed Resident #40's tray on the table in front of her, as she slept in her wheelchair. An unidentified CNA stated, (Resident #40), are you going to drink your coffee. Resident #40 awoke, and took a sip of her coffee. The CNA turned to the surveyor and stated, It's probably cold by now. No further cueing or assistance was provided, and staff later documented 0-25% intake. - Review of Resident #49's medical record occurred on all days of survey. The current care plan identified, . Encourage and assist as needed to consume foods and/or supplements and fluids offered. Assist with meal set up. Observations showed the following: * 08/13/18 at 12:17 p.m., Resident #49 fed herself, eating cake directly from the bowl, which resulted in frosting smeared across her face and pieces of cake spilled onto her clothing. An unidentified CNA sat down to assist Resident #49 after she noticed the surveyor observing the resident. | 2020-09-01 |