cms_NV: 66
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 66 | LAS VEGAS POST ACUTE & REHABILITATION | 295006 | 2832 S. MARYLAND PARKWAY | LAS VEGAS | NV | 89109 | 2018-01-24 | 684 | D | 1 | 0 | V7CS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, record review and document review, the facility failed to ensure 2 of 6 sampled residents received a shower as scheduled and according to the care plan (Resident #2 and Resident #3). Findings include: Resident #2 Resident #2 was admitted on [DATE] with [DIAGNOSES REDACTED]. On 1/24/18 at 8:29 AM, the resident's family member indicated the resident had not had a shower in over a week. The resident confirmed he had not received a shower in over a week. The resident explained he had a schedule to receive showers two times a week on Mondays and Thursdays on the day shift. The resident's family member indicated the resident had not received a shower on Monday, 1/22/18. The resident's family member explained a staff member was busy and told the family member that they had to attend to another issue and would be back to give the resident a shower, but the staff member had not returned. The family member expressed when the resident received a shower, a staff member would shave the resident's face. The family member explained she had to shave the resident's face on 1/24/18 because the resident had not received a shower and a shave on 1/22/18. On 1/24/18 at 9:50 AM, a Certified Nursing Assistant (CNA) indicated residents received a shower according to a schedule and 2-3 times per week on different shifts. The CNA explained residents could receive a bed bath if they refused a shower. The CNA explained residents should have received a shower unless they refused. The CNA explained the documentation of showers and bed baths, as well as resident refusals was kept in the Activities of Daily Living (ADL) binder, on the ADL flow sheet. Review of the care plan, dated 2/3/17 revealed the resident required skilled nursing care for medical management and the approach was to provide showers per the schedule. Review of the day shift shower schedule revealed the resident was to receive a shower on Mondays and Thursdays. Review of the ADL Supplemental Charting Flow Sheet, dated (MONTH) (YEAR), revealed the resident received one shower on 12/21/17. There was no documented evidence the resident received showers as scheduled in the month of (MONTH) (YEAR). There was no documented evidence the resident refused showers in the month of (MONTH) (YEAR). Review of the ADL Supplemental Charting Flow Sheet, dated (MONTH) (YEAR), revealed the resident received one shower on 1/15/18. There was no documented evidence the resident received showers as scheduled in the month of (MONTH) (YEAR). There was no documented evidence the resident refused showers in the month of (MONTH) (YEAR). On 1/24/18 at 1:20 PM, the Lead CNA indicated showers were to be conducted according to the shower schedule two times per week on the indicated shift. The Lead CNA indicated a shower was different than a bed bath as the bed bath was completed in the bed for the resident. The Lead CNA confirmed the CNA's should have documented when a resident received a shower on the ADL Supplement Charting Flow Sheet. The Lead CNA indicated the CNA's documented when a resident refused a shower on the ADL flow sheet. The Lead CNA acknowledged the resident had not had a shower since 1/15/18, according to the ADL flow sheet. The Lead CNA acknowledged the flow sheet lacked documentation the resident had refused a shower since 1/15/18. Resident #3 Resident #3 was admitted on [DATE] with [DIAGNOSES REDACTED]. On 1/24/18 at 8:15 AM, the resident indicated he had not received showers on the schedule provided. The resident confirmed he was supposed to receive a shower on the day shift on Mondays and Thursdays. The resident explained the staff told him they were busy and would come back, but they never did. The resident indicated he wanted to receive showers on scheduled days. Review of the care plan, dated 11/2017, revealed the resident required assistance with ADL's. The goal of the care plan was to maintain if not improve the resident's current level of ADL's by providing showers as needed. Review of the day shift shower schedule revealed the resident was to receive a shower on Mondays and Thursdays. Review of the ADL Supplemental Charting Flow Sheet, dated (MONTH) (YEAR), revealed the resident received a shower on 1/8/18 and 1/15/18. There was no documented evidence the resident received showers as scheduled in the month of (MONTH) (YEAR). There was no documented evidence the resident refused showers in the month of (MONTH) (YEAR). Review of a facility policy entitled Charting and Documentation, (no date), documented services provided to the resident should be documented in the resident's medical record. Documentation of services included whether the resident refused the procedure or treatment. Review of a facility policy entitled Shower/Tub Bath, dated (MONTH) 2010, documented the facility promoted cleanliness of the residents. The policy documented if the resident refused a shower/tub bath, the reason why and the intervention taken would be documented in the ADL record. | 2020-09-01 |