cms_RI: 83
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 83 | OAK HILL HEALTH & REHABILITATION CENTER | 415027 | 544 PLEASANT STREET | PAWTUCKET | RI | 2860 | 2017-12-20 | 656 | E | 1 | 0 | MUG111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on surveyor observations, record reviews, and staff interviews it was determined that the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 4 of 23 sample residents, ID#s 7, 78, 85, and 332. Findings are as follows: 1. Review of Resident ID # 7's clinical record revealed an admission date of [DATE], with [DIAGNOSES REDACTED]. Further record review revealed a care plan initiated on 10/25/2017 indicating the resident is a smoker. Interventions include, staff observation will be provided while smoking and to remove cigarettes, lighters and matches and keep in secure location. Review of a quarterly assessment note written by social services on 10/25/2017 revealed that the social worker was aware that the resident goes outside frequently throughout the day to smoke, he/she will smoke cigarettes from other residents, as well as hoard cigarette butts. Review of the plan of care revealed no revision made at this time to re-evaluate the residents needs. Surveyor observation on 12/11/2017 at 1:20 PM, 12/12/2017 at 9:09 AM, 12/12/2017 at 10:16 AM, and 12/15/2017 at 10:39 AM revealed the resident outside smoking unsupervised. The resident was utilizing smoking materials that s/he took out of his/her pocket, which were not removed by staff and kept in a secure location as indicated in the plan of care. An interview was conducted with the Administrator on 12/19/2017 at approximately 1:00 PM, she was unaware that the resident was outside smoking unsupervised, using smoking materials kept on his/her person and acknowledged that the plan of care should have been implemented and revised for this resident. 2. Review of Resident ID # 78's clinical record revealed an admission date of [DATE] with [DIAGNOSES REDACTED]. Further review of the record revealed a current physician's orders [REDACTED]. Further review of the record revealed a care plan initiated on 10/20/2017 and revised on 11/08/2017 with a focus stating that the resident [MEDICAL CONDITION] to poor diet. Interventions include, but are not limited to: discourage overeating, encourage the resident to take their time eating, alternate food with sips of fluids; encourage resident to avoid alcohol, coffee, fatty foods, chocolate, citrus juices, colas, tomato products, garlic and onions, encourage a bland diet; and avoidance of spicy foods. During an interview with the MDS coordinator on 12/19/2017 at 12:32 PM, she acknowledged that the resident's care plan [MEDICAL CONDITION] not a person centered care plan regarding diet, as the resident is fed by a feeding tube and therefore would not be consuming foods by mouth as indicated in the plan of care. 3. Review of Resident ID # 85's clinical record revealed an admission date of [DATE], with [DIAGNOSES REDACTED]. Record review of a significant change assessment dated [DATE] revealed that the resident was at risk for developing pressure ulcers. The Care Area Assessment (CAA) summary states will proceed to care plan. Further record review revealed no evidence of a plan of care addressing pressure ulcer prevention. An interview was conducted with the Administrator on 12/19/2017 at approximately 1:00 PM. She was unaware that the resident did not have a plan of care for preventing pressure ulcers and could not provide evidence that a plan of care was developed. 4. Review of Resident ID # 332's clinical record revealed a readmission date of [DATE] with [DIAGNOSES REDACTED]. Further record review of a hospital discharge summary revealed that the resident was readmitted to the facilty with a midline intravenous (IV) catheter (Peripherally inserted catheter that tip is not centrally placed) to deliver IV antibiotics. Further record review revealed no evidence of a plan of care addressing IV catheter care and maintenance or use of antibiotics. An interview was conducted with Director of Nursing Services on 12/20/2017 at 1:15 PM. She stated she was unaware that the resident did not have a plan of care and/or assessment orders in place for IV catheter care and could not provide evidence that a plan of care was developed. | 2020-09-01 |