cms_UT: 21
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 21 | HERITAGE PARK HEALTHCARE AND REHABILITATION | 465003 | 2700 WEST 5600 SOUTH | ROY | UT | 84067 | 2017-05-03 | 225 | D | 1 | 0 | 74IB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review the facility did not thoroughly investigate or report an allegation of abuse or neglect for 2 of 11 sample residents. Resident identifiers: 8 and 11. Findings include: On 5/3/17 at 12:45 PM, an interview was conducted with resident 8 regarding the care she received at the facility. When asked whether she felt she was treated with respect and dignity, resident 8 stated that there was one Certified Nursing Assistant (CNA) who was rude. When asked to explain, resident 8 stated that CNA 2 had lied to her when she requested a snack, stating there weren't any available. Resident 8 also stated that CNA 2 had humiliated other staff members in front of her. Resident 8 also stated that CNA 2 had yelled at her when she asked for help, saying she did not have time to help the resident. Resident 8 stated that she refused to have CNA 2 assist her with any more cares. On 5/3/17 at 1:00 PM, CNA's 2 employee record was reviewed. CNA 2's employee record revealed a Corrective Action Plan (CAP) for the CNA dated 11/23/16. The CAP revealed that CNA 2 had been given a written warning regarding her work performance. The following items were listed as the performance issues that warranted the written warning: .10/1/16: Reported that aid refused to do showers because it is 'not her job'. Or that staff member states resident is refusing showers when the resident is stating that they really want one. 10/1/16: Ignoring specific resident rooms call light. 10/1/116 (sic): Transferring residents via hoyer lift without mandated second staff member present. 10/1/16: Leaving resident dirty linens in their rooms or left on the resident to sleep in. 10/1/16: Speaking Spanish in front of the residents with other staff in the resident rooms. 10/17/16: Not washing hands before and after resident cares. Not washing hands before serving food in the dining room. 10/17/16: Bringing a dead bird into the facility, into the resident dining area, pretending like she was going to throw it at staff, and not washing hands afterwards, prior to patient cares. 11/1/16: Washing a residents hair, although resident stated she did not want to have her hair washed because they had recently had the beautician set their hair. 11/15/16: Multiple wholes (sic) in charting. 11/16/16: Making resident feel ashamed for spilling fluid on pants. Resident was drying pants with the fan and stated that they felt belittled . On 5/3/17 at 1:10 PM, the facility abuse investigations from 9/1/16 through 5/3/17 were reviewed. No allegations of abuse and subsequent investigations regarding CNA 2 were located. No allegations of abuse were reported to the state survey and certification agency regarding CNA 2. On 5/3/17, the facility's Abuse Investigations Policy and Procedure was reviewed. The Policy revealed the following: . 1. Should an incident or suspected incident of resident abuse, mistreatment, neglect or injury of unknown source be reported, the Administrator, or his/her designee, will appoint a member of management to investigate the alleged incident. 2. The individual conducting the investigation will, as (sic) a minimum: . b. Interview the person(s) reporting the incident; c. Interview any witnesses to the incident; . h. Interview other residents with whom the individual provides care or services and/or interacts; .9. The results of the investigation will be recorded on approved documentation forms. 10. The investigator will give a copy of the completed documentation to the Administrator within 5 working days of the reported incident. . 12. The Administrator will provide a written report of the results of all alleged abuse investigations and appropriate action taken to the state survey and certification agency, the local police department, and others as may be required by state or local laws, within five (5) working days of the reported incident. On 5/3/17 at 1:45 PM, the Administrator (ADM) and Administrator in Training (AIT) were interviewed regarding CNA 2. The ADM and AIT stated that CNA 2 had worked in all areas of the facility, and that multiple staff members had requested not to work with CNA 2. The ADM and AIT stated that they had received complaints by another resident, resident 11, regarding CNA 2 and provided two grievance forms. The grievance forms were subsequently reviewed. On 9/26/16 resident 11 filed a grievance with facility staff regarding CNA 2. Resident 11 reported she was frustrated because staff was abrupt when answering call light and did not attend to concerns in a timely manner. Resident 11 filed a second grievance on 12/8/16 stating that she was concerned with (CNA 2's) bedside manner, response time to call lights, her attitude and approach when performing cares. The ADM and AIT stated that they had not reported the incidents listed in CNA 2's employee file or the grievance forms because no specific residents were mentioned. The ADM and AIT confirmed that they did not conduct an abuse investigation for the allegations made by resident 11 or the allegations made by other staff about CNA 2's treatment of [REDACTED]. | 2020-09-01 |