| 21 |
SANTA FE CARE CENTER |
325030 |
635 HARKLE ROAD |
SANTA FE |
NM |
87505 |
2019-07-19 |
791 |
E |
0 |
1 |
W7WU11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation, the facility failed to ensure residents who were without teeth were offered dental services for dentures for 2 (R #3 and R #72) of 2 (R #3 and R #72) residents reviewed for dental health and services. This deficient practice could result in the resident's needs not being met. The findings are: R #3 [NAME] Record review of R #3's admission record, indicated that the resident was initially admitted to the facility on [DATE]. B. On 07/15/19 at 10:14 AM, during an interview with R #3 he stated he had not seen a dentist since he has been at the facility and that he was interested in getting dentures. The residents mouth was observed, and he has one tooth on the upper right. C. On 07/17/19 at 11:20 AM, during an interview with LPN # 2, he stated he was unaware that R #3 had no teeth or that he wanted dentures. He checked the residents record and did not find any dental consultation forms. D. On 07/17/19 at 11:23 AM, during an interview, the Scheduler stated that the nurses or social workers would let her know if an appointment was needed and that R #3 had not seen a dentist. E. On 07/18/19 at 11:55 AM, during an interview with the DON and ADON, the DON said, I should speak to the Social Worker (SW) regarding dental visits for (name of R #3). F. On 07/18/19 at 4:16 PM, during an interview, the SW stated that R #3 had not been seen by the dentist. Per SW He never asked to be seen. R #72 [NAME] On 07/15/19 at 9:16 AM, during an interview, R #72 stated, I had dentures years ago, but I had a lot of trouble with them. They kept bothering me and I kept going back (to the dentist). Finally the dentist's office said Medicaid didn't want to pay anymore for me to keep going back. I have to eat without teeth. I would like dentures that fit me. I just skip the hard foods, I can't eat the hard foods. No one has offered an appointment. H. On 07/15/19 at 09:19 AM, during observation, R #72 opened her mouth to show me she had no teeth. The examination revealed the resident has no teeth. I. On 07/16/19 at 03:36 PM, during an interview with the SW (Social Worker) she stated, I had not heard anything about (Name of R #72) not having teeth. I will put her on the list to see the dentist. [NAME] On 07/16/19 at 04:15 PM, during an interview with the MDS (Minimum Data Set) Coordinator regarding R #72's oral status, she said, The SW completes that (Dental Section) and would usually follow up on dental. and ask if she (the resident) wants dentures. There should have been an inquiry. There is nothing regarding dietary and her oral status in her care plan K. Record review of the MDS dated [DATE] for R #72 revealed: Section L0200. Dental Check all that apply [NAME] Broken or loosely fitting full or partial denture(chipped, cracked, uncleanable, or loose) F. Mouth or facial pain, discomfort or difficulty with chewing Neither item was check marked |
2020-09-01 |