cms_NH: 79
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
79 | EDGEWOOD CENTRE (THE) | 305022 | 928 SOUTH STREET | PORTSMOUTH | NH | 3801 | 2019-02-01 | 609 | D | 0 | 1 | XVXH11 | Based on medical record review, and interview, it was determined that the facility failed to report a case of neglect, to the state survey agency for 1 of 1 resident in a final survey sample of 21 residents. (Resident identifier is #33.) Findings include: Review on 1/31/19 at 9:06 a.m. of Resident #33's nurses note dated 6/26/18 revealed Resident heard calling for help from South wing whirlpool room. Staff entered to find resident sliding down in tub filed with water. Tub drain opened and several staff members assisted holding resident while Hoyer pad was placed under (resident). At no time was (resident's) face or head under water. Resident then Hoyer transferred to w/c (wheelchair) and back to bed to get dressed. No pain or apparent injures noted to resident. Facility DON (Director of Nurses) and POA (Power of Attorney) notified of incident. Review on 1/31/19 at 9:59 a.m. of Resident # 33's care plan revealed under (focus) care area for ADLs (Activities of Daily Living): I have an ADL self-care performance deficit r/t (related to) left parietal intraparenchymal hemorrhage, right hemipligia, and decreased strength Date initiated: 7/12/17 Under (interventions) states Bathing/showering: I require extensive assistance by one staff with bathing/showering. Interview on 1/31/19 at 10:04 a.m. with Resident #33, Resident #33 stated I was so scared I almost drowned Resident #33 was asked if anyone was with (Resident #33) at the time of the event Resident #33 stated no. Resident #33 also said since that event I have not had a tub since, and I love having tubs. Maybe if someone stayed with me I could try again. Interview on 1/31/19 at 11:51 a.m. with Staff A (Administrator), Staff B (Director of Nurses). and Staff C (Unit manger) confirmed that the event as written occurred and that the staff member who was caring for Resident #33 was not in the tub room at time of the event. Since this incident, the staff member has quit due to the what had occurred. The Administrator also was asked if the event was sent to the state survey agency? The administrator stated, no, because the resident was not hurt and it was not felt to be reportable. | 2020-09-01 |