cms_ND: 84
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 84 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2018-08-16 | 684 | D | 0 | 1 | B0I611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** SWALLOW SAFETY 1. Based on observation and record review, the facility failed to ensure 1 of 1 sampled resident (Resident #35) observed being assisted to drink while lying in bed received the necessary care and services to ensure his safety. Failure to properly position Resident #35 in bed has the potential to negatively affect his overall swallow safety and placed him at risk of aspiration. Findings include: The facility failed to provide a policy regarding dysphagia or feeding assistance per request. Review of Resident #35's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. A Speech Therapy Progress (and) Discharge Summary, dated 01/18/18, identified, . Precautions: Position at 90 degree angle during and 20 minutes after oral intake. Positioning during oral intake must be Approx. (approximately) 90 degrees. Observation showed the following: * 08/14/18 at 9:52 a.m., Resident #35 laid on his left side in bed, with the head of the bed reclined to an approximate 20 degree angle. A certified nursing assistant (CNA) (#9) raised Resident #35's bed (with the head of the bed in the reclined position) and gave him a drink of water via a straw. * 08/15/18 at 9:11 a.m., Resident #35 laid flat on his back in bed, with his head resting on two pillows (an approximate 20 degree angle). Two CNAs (#10 and #11) gave him a drink of water via a straw. In both instances, the staff members failed to raise the head of Resident #35's bed to a 90 degree angle prior to offering him a drink of water. TRANSFER SAFETY/BRUISES 2. Based on observation, record review, and family and staff interviews, the facility failed to provide the necessary care and services for 1 of 18 sampled resident (Resident #8) observed being transferred into their wheelchair. Failure to report, assess, and document residents' bruises may result in lack of identification of additional bruises and/or the cause for these bruises. Findings include: The facility failed to provide a policy regarding transfers and/or skin care per request. During an interview on 08/13/18 at 11:30 a.m., when asked questions about accident hazards, a family member (AA), reported her mother has Bruises all over. (Her) legs are covered. (The facility) thinks it may be from the side rails. Review of Resident #8's medical record occurred on all days of survey. The record showed she was at risk of alterations in skin integrity. A Weekly Skin Review, dated 08/15/18, identified, . bruising to bilateral shins. The skin assessment failed to identify the number of and location of the bruises on Resident #8's legs. Observations showed the following: * 08/14/18 at 12:12 p.m., a CNA (#21) assisted Resident #8 to stand-pivot into her wheelchair. The CNA bumped/scraped Resident #8's shin when she applied the pedals to the chair. Resident #8 stated, Ow! Watch what you are doing! I have soft skin. The staff member failed to report the incident to the nurse, who is responsible for assessing Resident #8's skin. * 08/15/18 at 3:59 p.m., Resident #8 with several bruises to both legs. Both lower legs were visible, as she was not wearing her TED hose. During an interview on 08/16/18 at 9:38 a.m., a nurse (#19) confirmed staff failed to apply Resident #8's TED hose, and stated the hose would add another barrier, protecting her skin. | 2020-09-01 |