cms_OR: 2
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 | LAURELHURST VILLAGE | 385010 | 3060 SE STARK STREET | PORTLAND | OR | 97214 | 2019-02-27 | 561 | D | 1 | 1 | 71NL11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, interview and record review, it was determined the facility failed to provide choice in shower schedule and follow food choices for 1 of 2 sample residents (#38) reviewed for choices. This placed residents at risk for reduced quality of life. Findings include: Resident 38 was admitted to the facility in 1/2019 with [DIAGNOSES REDACTED]. a. The 1/9/19 Admission MDS coded the need for the physical help of one person with part of the bathing activity. The ADL Care plan, revised on 2/5/19, identified the resident's need for one person to provide some physical assistance with bathing. On 2/11/19, the care plan was further updated with the resident's preferred equipment to use during bathing. A 2/11/19 Social Service Note identified the resident's preferred days for showers on Sunday and Wednesday, but no mention of the resident's preferred time of day for showers was reflected in the notes. The Bathing/Shower task documentation from 2/8/19 through 2/20/19 identified the resident was documented as received showers between 10:30 AM and 2:05 PM. On 2/20/19 at 9:58 AM, Resident 38 was observed sitting on her/his bed in pajamas. The resident stated she/he didn't have much choice when showers were provided. The resident stated you needed to wait your turn and until a CNA was ready. Resident 38 stated she/he would rather schedule the time for a shower, so free time was available in her/his day. According to the resident, the day was decided for her/him. On 2/20/19 at 11:16 AM, the resident remained in her/his pajamas with items needed for the shower stacked at the bedside. In a 2/25/19 interview at 11:15 AM, Staff 12 (LPN) stated showers were assigned on specific days and shifts, but in no particular time within that shift. When interviewed on 2/26/19 at 1:36 PM, Staff 10 (Resident Care Manager-LPN) stated she generally talked to residents when they were admitted and if the resident mentioned a specific time, she would arrange it. Resident 38's normal routine was to get up early. b. In a 2/19/19 interview at 2:51 PM and 2/20/19 at 10:39 AM, Resident 38 stated the staff sent a sack lunch with her/him to [MEDICAL TREATMENT] treatments, but always made the sandwiches with wheat bread which she/he could not eat. When eating meals in the facility, staff brought wheat bread consistently to her/him, although Resident 38 had repeatedly told them she/he could not eat and did not want wheat bread. On 2/22/19 at 8:51 AM, the resident was overheard saying to a CNA I have told you repeatedly I do not want wheat toast - I would like white toast. Observation of the resident's breakfast tray revealed a double portion of eggs, hot cereal, milk and wheat toast. The tray card did not identify her/his request for no wheat toast. When interviewed on 2/26/19 at 9:53 AM, Staff 25 (CNA) stated the resident had told him she/he did not want wheat bread. Staff told the server from the kitchen and it was his understanding, the kitchen would make the changes on the tray card. In a 2/26/19 interview at 11:09 AM, Staff 13 (Chef) stated it was the responsibility of the CNA or servers to write resident changes on the tray card before returning it to the kitchen for input into the computer. It was not a perfect system and communications could break down. Staff 13 was unaware of the resident's request to have no wheat bread. | 2020-09-01 |