| 54 |
SANDIA RIDGE CENTER |
325032 |
2216 LESTER DRIVE NE |
ALBUQUERQUE |
NM |
87112 |
2018-03-14 |
725 |
F |
0 |
1 |
YN7D11 |
Based on record review and interview the facility failed to ensure sufficient nursing staff to answer call lights in a timely manner, on a consistent basis, across all shifts, for the needs of all 126 residents identified on the alphabetical resident census provided by the Administrator on 03/05/18. This deficient practice has the potential to negatively impact resident safety and comfort, and to impede processes such as timely incontinence care and regular turning schedules. The findings are: [NAME] On 03/05/18 at 9:31 am, during an interview with resident (R) #114, she stated that they (staff) don't have enough help. R #114 stated that I will go to the bathroom in my pants before they get to me. R #114 stated that more than five times she has gone in her pants because she couldn't hold it any longer. R #114 stated that it is worse on the weekends. B. On 03/05/18 at 9:40 am, during an interview with R #66, she stated I want to get up the morning but they are short handed. R #66 also stated that last night (03/04/18) they were short handed, she waited about an hour to be put to bed. C. On 03/05/18 at 9:09 am, during an interview with R #9, he stated that sometimes there are 4 people assigned to the unit but other times there are only 2. When there are only 2 workers, I have to wait between 30 and 45 minutes. D. On 03/05/18 at 2:19 pm, during an interview with R #2, she stated that sometimes they are short handed. She stated that there are times you're laying there and you may need the restroom but you have to wait 30 minutes before you get help. E. On 03/05/18 at 9:49 am, during an interview with R #89's family member, the family stated that sometimes they are a little short staffed. My mom is here and she's pretty high maintenance, but she has to wait quite a bit. F. On 03/05/18 at 9:53 am, during an interview with R #273, she stated that nights had been a problem. There is one person working the night shift. R #273 stated that it felt like they need more staff. She went to the bathroom three times before they got to her. R #273 also stated that she is leaving the facility because they are not attending to her enough. [NAME] On 03/06/18 at 11:29 am, during an interview with R #58, she felt like they could use more staff at the busy times, after breakfast and early in the morning when residents are getting up. It feels like a long time when you are waiting and it takes even longer on the weekends - not as many people working on the weekend. Pain medications are sometimes given 1.5 hours after they are supposed to be given. H. On 03/06/18 at 10:01 am, during an interview with R #93, she stated they are extremely short staffed for the population. Meal times are the worst, total chaos. One or two night time aides and one night nurse. I. On 03/07/18 at 10:34 am, during an interview with R #39, she stated that they have two or three Certified Nursing Assistants (CNAs) right now, because we're (surveyors) here. R #39 stated that you will see the nurse one time in the morning and one time in the evening and that's it. She stated that there will be one CNA and one nurse on the night shift, and for help you might have to wait a half hour to 40 minutes. [NAME] On 03/06/18 at 10:05 am, during an interview with R#44, she stated that she only has to wait when no one shows up to work. That doesn't happen very often. She also stated that you do have to wait longer on the weekends. There is no one here from the other departments so if you need anything you have to wait until Monday. K. On 03/12/18 at 10:30 am, during an interview with R #6, she stated that on her floor/hall there are only two girls (staff) and it is just not enough staff on the floor. She has sat there on the pot, she may sit there and sit there and sit. Banging on the door to get someone down there to help her. She will wait 30 minutes to one hour. The call light is fixed in the bathroom now, but she still waits. L. On 03/12/18 at 4:25 am, during an interview with Licensed Practical Nurse #2, she stated that there is only one nurse for two halls and 2 CNAs, one for each hall. She did not feel that there was enough staff at night. Primarily with the CNAs. She stated that tonight they have a CNA who floats and that this can make all the difference in resident care. LPN #2 indicated that when there are only two CNAs for two halls it will create longer call light response times. Not always, on every occasion, but it happens. LPN #2 also stated that the residents' will complain to them about how long it takes to get assistance. M. On 03/12/18 at 4:25 am, during an interview with CNA #4, CNA #4 stated that there is not enough staff on nights typically. When they have a floater, like tonight, then it makes a big difference. Residents don't have to wait as long. N. On 03/12/18 at 5:10 am, during an interview with CNA #5, CNA #5 stated that when they have two people on this hall at night it is much better. CNA #5 stated that there had been lots of complaints to the scheduler and the DON about needing more staff at night. CNA #5 also stated that they have to take time away from resident care to go out to storage to get the items they need when they run out. O. On 03/12/18 at 5:25 am, during an interview with CNA #6, CNA #6 stated that someone always calls in. Sometimes people will call in if they don't want to work a particular hall. CNA #6 also indicated that complaints had been made about not having enough staff. CNA #6 stated that you can't really meet all of the resident needs timely if there isn't enough staff. P. On 03/12/18 at 5:40 am, during an interview with CNA #8, CNA #8 stated that she works all over but works mainly at night. CNA #8 stated that when the facility fully staffs the building with enough staff it makes a huge difference for both the staff and residents. CNA #8 also stated that when there is a floater in the building that assists the other CNAs it makes all the difference but they don't typically have one. Q. On 03/13/18 at 1:14 pm, during an interview with the Staffing Coordinator (SC), she stated that the higher the census the more staff they have. It is based off of all of the residents, on every hall in the building. The SC stated that the (name of the hall) has the highest turnover of residents. She indicated that even though the resident census may fluctuate more on the (name of the hall) it doesn't affect the residents on the other halls. The SC also stated that if there is a higher need on 200 hall than she might place the floater there and take it from 300 and 400 hall which leaves the 300 and 400 hall with one CNA a piece. When asked, the SC did not feel that 1 CNA for 29 residents for (name of the hall) would be too much, stating that depending on who is working will depend on whether or not they can manage the work load. R. On 03/12/18 at 3:35 pm, during an interview with the Administrator she stated that there are 15 employees dedicated to the night shift. Depending on the acuity and the needs. If the needs are greater on one hall over another than they may pull a person from that hall. She indicated that on (name of halls) they may need to pull more employees too, which means moving the staff around. When asked whether another staff member is ever added instead of pulling them from some where else, she stated that yes that has happened. An extra person was added to (name of hall). When asked about what the need was that required an extra staff person, the Administrator answered that they added an extra person for a one on one situation. S. Record review of the Facility Assessment: Staffing section, indicated that for (name of hall) the ideal staff for the night shift would be 1.5 employees to 21 residents. For the (name of hall) the ideal staffing on the night shift would be 1.5 employees to 29 resident. |
2020-09-01 |