cms_NH: 80
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
80 | EDGEWOOD CENTRE (THE) | 305022 | 928 SOUTH STREET | PORTSMOUTH | NH | 3801 | 2019-02-01 | 689 | D | 0 | 1 | XVXH11 | Based on medical record review and interview, it was determined that the facility failed to ensure that 1 of 1 resident receives adequate supervision to prevent accidents 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 at 11:37 states 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 laced under him. At no time was (residents) face or head under water. Resident they Hoyer transferred to w/c 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 09:59 a.m. Resident #33's care plan states 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. Resident #33 stated I was so scared I almost drowned Resident #33 was asked if anyone was with him 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. | 2020-09-01 |