cms_RI: 62
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
62 | OAK HILL HEALTH & REHABILITATION CENTER | 415027 | 544 PLEASANT STREET | PAWTUCKET | RI | 2860 | 2018-06-18 | 550 | B | 0 | 1 | NPS511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on surveyor observations, record review, and staff interview, it was determined that the facility has failed to ensure residents' dignity was maintained relative to posting personal information and being left exposed for 2 of 3 sample residents ID # 90 & ID # 215. Findings are as follows: 1. A surveyor observation of Resident ID#90 on 6/13/2018 at approximately 9:15 AM, in the presence of the nurse unit manager, revealed a sign with the resident's name, the name of a medication ([MEDICATION NAME]) and directions to apply the medication. It was signed by the respiratory therapist and posted on the outside of the resident's door which was visible from the hallway. When the surveyor asked the nurse manager about the sign, she was unable explain why the note was posted on the resident's door. On 06/14/2018 at 1:37 PM, the surveyor interviewed the Corporate Nurse, staff C, and spoke with the respiratory therapist on the phone who placed the sign on the door. She stated she wanted the nurses to know about the medication and to change the site every three days. She acknowledged she should not have placed it on the door of the resident's room. 2. Surveyor observation of Resident ID #215 on the following days and times revealed the resident lying in bed, uncovered with his/her legs and brief exposed, and visible from the hallway. - 06/14/18 09:24 AM observation of resident in bed, uncovered, with brief exposed and legs up in the air - 06/14/18 01:31 PM observation of resident in bed, uncovered, with his/her legs hanging off the bed and the brief exposed - 06/15/18 09:33 AM observation of resident in bed, uncovered, legs elevated, knees up, and brief exposed - 06/15/18 09:48 AM observation of the resident still in the same position as above, uncovered and exposed - 06/15/18 10:56 AM observation of the resident, by two surveyors, exposed with legs up, no covers and brief exposed. Staff observed in the area walking into the room across the hall and no one covered the resident. During a surveyor interview with the Director of Nursing Services (DNS) on 06/18/2018 at 1:20 PM, she acknowledged that the resident removes his covers and stated that she has covered him up herself in the past. The DNS was unable to provide evidence of any interventions that were implemented to ensure the residents dignity. | 2020-09-01 |