cms_RI: 56
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
56 | APPLE REHAB WATCH HILL | 415015 | 79 WATCH HILL ROAD | WESTERLY | RI | 2891 | 2019-11-17 | 689 | D | 1 | 0 | PFX511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, staff and resident interview, it has been determined that the facility failed to ensure a resident received adequate supervision and assistance to prevent a fall during transfer care for 1 of 1 resident reviewed for accidents, Resident ID #1. Findings are as follows: Record review for Resident ID #1 revealed s/he was admitted to the facility in 8/2019 with [DIAGNOSES REDACTED]. An admission Minimum Data Set ((MDS) dated [DATE] indicates a Brief Interview for Mental Status (BIMS) score of 15 of 15, indicating the resident is cognitively intact and that the resident requires extensive assistance by two staff members for transfers. Additional record review reveals a Physical Therapy Clarification Order dated 9/10/2019 that states 2 person OOB (out of bed)transfer. Further record review reveals an Individualized Resident Assignment that indicates the resident is an assist of two for transfers. During an interview on 11/07/2019 with Resident ID #1 s/he indicated that s/he had a fall on 11/15/2019. S/he further indicated that the Certified Nursing Assistant (CNA), Staff A transferred him/her independently and did not apply the prosthesis to the left extremity. During an interview on 11/19/2019 at approximately 10:00 AM with Staff A she acknowledged that she attempted to transfer the resident from bed to chair independently without his/her prosthesis on resulting in a fall. | 2020-09-01 |