cms_RI: 73
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
73 | OAK HILL HEALTH & REHABILITATION CENTER | 415027 | 544 PLEASANT STREET | PAWTUCKET | RI | 2860 | 2018-10-11 | 600 | D | 1 | 0 | SL3R11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff interview it has been determined that the facility failed to ensure that residents are free from abuse for 3 of 6 residents reviewed for abuse, ID#s 3, 5 and 8. Findings are as follows: 1. Record review revealed that Resident ID#4 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The quarterly Minimum Data Set ((MDS) dated [DATE] revealed an unscored Brief Interview of Mental Status (BIMS) score, indicating that the resident is rarely or never understood. Further record review for ID #4 revealed a current care plan for behavior symptoms such as socially inappropriate, verbally aggressive/abusive, physically aggressive/abusive, delusions, and wandering behaviors related to cognitive impairment. Record review for Resident ID #3 revealed that s/he was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The quarterly MDS dated [DATE] revealed a BIMS score of 7 out of 15, indicating severe cognitive impairment. Review of the facility reported incident revealed that on 9/17/2018, Resident ID#4 pushed Resident ID#3 causing him/her to fall. Per the facility's investigation report, ID#4 admitted to pushing ID#3 and ID#3 was witnessed falling by staff. ID#4 was went to the hospital for a psychiatric evaluation. ID #3 was assessed and found to have no injury. 2. Record review revealed that Resident ID#8 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The quarterly MDS dated [DATE] revealed a BIMS score of 10 out of 15, indicating moderate cognitive impairment. Review of the facility reported incident revealed that on 8/21/2018, Resident ID #4 pushed Resident ID #8 and punched him/her in the stomach. The incident was witnessed by staff. ID #8 was assessed and found to have no injury. 3. Closed record review reveled that Resident ID #6 was admitted to the facility on [DATE] wit [DIAGNOSES REDACTED]. The quarterly MDS dated [DATE] revealed an unscored BIMS, indicating that the resident is rarely or never understood. Further record review for ID #6 revealed a care plan for behavior symptoms such as verbally abusive and threatened other residents, exhibits sexually inappropriate behaviors, and abuse/hitting another resident. Record review for Resident ID #5 revealed that on 8/8/2018, Resident ID#6 punched Resident ID #5 on the back of the head which was witnessed by facility staff. Per the facility's investigation report, ID#5 was sent to the hospital for a psychiatric evaluation. ID #5 was assessed and found to have no injury. During a surveyor interview with the Administrator on 10/11/2018 at approximately 11:10 AM, she was unable to provide evidence the above-mentioned residents were free from abuse. | 2020-09-01 |