cms_ND: 85
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 85 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2018-08-16 | 689 | D | 0 | 1 | B0I611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THIS IS A REPEAT DEFICIENCY FROM SURVEY COMPLETED ON 07/26/17 Based on observation, review of facility policy, record review, and staff interview, the facility failed to provide adequate supervision and assistive devices necessary to prevent accidents for 2 of 8 sampled residents (Resident #2 and #23) observed during gait belt transfers. Failure to properly use a gaitbelt and to ensure adequate assistance during gaitbelt transfers placed the residents at risk of accidents and injury. Findings include: Review of the facility policy titled Lifting and Movement of Residents occurred on 08/16/18. The policy, dated (MONTH) (YEAR), stated, . In order to protect the safety and well-being of staff and residents, and to promote quality care, this facility uses appropriate techniques and devices to lift and move residents. 2. Manual lifting of residents shall be eliminated when feasible. 3. Nursing staff, in conjunction with the rehabilitation staff, shall assess individual residents' needs for transfer assistance on an ongoing basis. Staff will document resident transferring and lifting needs in the care plan . 6. Gait belts will be used when the resident can bear some weight, has some upper body strength, and is easily managed by one or more staff with non-mechanical lifting devices. - Review of Resident #23's medical record occurred on all days of the survey. A significant change Minimum Data Set (MDS), dated [DATE], identified the resident required extensive assist of two for transfers. The resident's current care plan stated, . Transfer with two assist with gait belt. During an observation on 08/14/18 at 5:00 p.m., a certified nursing assistant (CNA) (#7) placed a gait belt around Resident #23 and transferred him from the recliner to wheelchair without the assistance of a second staff member. Resident #23 showed difficulty with bearing weight and standing during the transfer. - Review of Resident #2's medical record occurred on (MONTH) 14-16, (YEAR). A quarterly MDS, dated [DATE], identified the resident required extensive assist of two staff for transfers. The resident's current care plan stated, . Transfer with two assist with gait belt. Observation on 08/14/18 at 10:10 a.m. showed two CNAs (#9 and #21) assisted Resident #2 to bed utilizing a gait belt, the CNAs held Resident #2 under her arms as well as holding the gait belt during the transfer. After changing her brief, the CNAs (#9 and #21) assisted Resident #2 back to her chair utilizing a gait belt. Observation showed Resident #2 was not able to stand upright. One CNA (#21) lifted the resident under her arms while the second CNA (#9) lifted the resident's legs to position her in the chair. Observation on 08/14/18 at 2:44 p.m. showed Resident #2 resting in bed. Two CNAs (#13 and #23) transferred the resident from her bed to her chair utilizing a gait belt. Observation showed Resident #2 did not bear weight during the transfer, but half stood with her legs bent and her feet not touching floor. When informed of the above observations, during an interview on 08/15/18 at 2:30 p.m., an administrative nurse (#16) stated she was not aware of the resident's inability to bear weight and would schedule a therapy evaluation for the resident's transfer status. | 2020-09-01 |