cms_NV: 7
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7 | PERSHING GENERAL HOSPITAL SNF | 295000 | 855 6TH STREET | LOVELOCK | NV | 89419 | 2020-02-12 | 600 | D | 0 | 1 | YHGA11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, clinical record review and document review, the facility failed to protect a resident from verbal abuse from another resident in the dining room for 1 of 12 residents (Resident #2). Findings include: Resident #2 Resident #2 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #20 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 02/09/20 at 12:06 PM, Resident #2 verbalized, on 02/08/20, the resident was eating dinner in the activity room at the table in front of the television. Resident #20 was seated at the table and called Resident #2 a derogatory name. Resident #2 verbalized the incident made Resident #2 feel bad. Resident #2 verbalized the resident notified a Certified Nursing Assistant (CNA) of the incident and was instructed by the CNA to give Resident #20 more space and recommended Resident #2 should allow Resident #20 to sit by the television alone. On 02/10/20 at 12:00 PM, Resident #2 was seated for lunch in the activity room. Resident #2 was seated in a chair with a bedside table pulled over the resident's lap. Resident #20 was seated approximately five feet to the left of Resident #2 at the table in front of the television. On 02/10/20 at 1:26 PM, Resident #2 verbalized the resident was instructed to sit away from the table so Resident #20 would not be bothered by Resident #2 sitting at the same table. A social services progress note, dated 02/10/20, documented Resident #2 verbalized Resident #20 had walked up to Resident #2 and called the resident a derogatory name. The resident had informed a dietary staff member. On 02/11/20 at 2:33 PM, the Chief Nursing Officer (CNO) verbalized the CNO was unaware of an incident of resident to resident verbal abuse involving Resident #2 and Resident #20. The CNO verbalized the incident of a resident calling Resident #2 a derogatory name would be considered verbal abuse. The CNO verbalized the staff notified of the incident should have reported the incident to a supervisor and then the incident should have been reported to the State Survey Agency and investigated by the facility. On 02/11/20 at 3:25 PM, the Licensed Social Worker (LSW) verbalized there had not been an investigation initiated into the incident and staff caring for the residents had not been notified of the allegation. The LSW confirmed an investigation should have been initiated and Resident #2 should have been protected from further potential abuse during the investigation process. On 02/11/20 at 3:29 PM, the LSW verbalized Resident #2 had reported to the LSW the resident had notified a dietary staff member of the verbal abuse. The LSW verbalized dietary staff were trained on abuse prevention and reporting on hire and annually. The facility policy titled Abuse Prohibition and Prevention, dated 12/04/07, documented it was the facility policy to protect and promote the rights of each resident, including the right to be free from all forms of abuse. It was the policy of the facility to report all allegations of actual or suspected abuse and the facility had a zero tolerance policy for any type of abuse or failure to report alleged abuse. The policy documented each situation would be assessed and actions would be taken to prevent further potential abuse while the investigation was in progress. | 2020-09-01 |