| 13 |
SEA VIEW NURSING HOME |
485000 |
7500 BOLONGO BAY |
ST THOMAS |
VI |
802 |
2013-09-13 |
250 |
E |
0 |
1 |
IBTI11 |
Based on observation, interview and record review, it was determined that the facility failed to provide effective medically-related social services to assist residents to maintain their highest practicable physical, medical and psychosocial well-being. The findings are: A group meeting was held with alert and oriented residents on 9/10/2013 at 10:30 A.M. 5 of the 5 residents in attendance stated in response to questions about the social worker, that they did not know the name of the social worker employed by the facility. 4 residents stated they had never met or been visited by a social worker, and 4 of the 5 residents complained they had never received assistance from a social worker to resolve any social service needs. Each resident in the Group stated, whenever they needed help with a problem, they consulted the Activities Director. Resident #12 complained of requiring assistance with his immigration status. The resident stated he did not receive any money from any source because he was having problems with renewal of his green card. The resident stated, as a result, he has not had any money, not even one dollar of his own, to put into his pocket for the past three years. The resident stated he has requested help with this problem, but no one has helped him. One resident in the group, Resident # 13, complained of not receiving any money from any source for the past two years. The resident stated he had spoken to nursing staff about this problem and it still was not resolved. This resident stated he had not met with a social worker to discuss this issue. He stated he did not know there was a Social Worker in the facility. Resident #13 also complained of the lack of response to his request for discharge from the facility. The resident explained he needed to return to his home to help care for his ill brother. He stated that although he had shared this concern with staff, he had not received assistance from anyone to facilitate his discharge. The resident stated he has not been seen by a Social Worker to discuss his concerns. The medical record of each of the above residents, #12 and # 13 were reviewed on 9/10/13. There was no evidence found in each of these records to indicate a Social worker had responded to their individual concerns. During a meeting with the Director of Nursing on 9/10/13 at 12:15 P.M., when the Surveyors requested to meet with the facility ' s Social Worker, the Director of Nursing stated the Social Worker was not on site. The Nursing Director stated the Social Worker would not be available to meet with the survey team until Wednesday evening when he was scheduled to come to the facility. A telephone interview was held with the Social Worker on 9/10/15 at 2: 00 P.M. During this interview the Social Worker confirmed that he worked for the facility Monday, Wednesday and Thursday evenings. He explained that he was employed full-time at another agency and made time to see residents at the nursing home on those three evenings a week. He stated he has been employed part-time by the facility for several years. During this telephone contact, the Social Worker was interviewed regarding Resident #12 ' s Immigration Green Card concern. The Social Worker informed the surveyor that he was assisting the resident with this problem. When asked about the lack of Social Worker documentation in the resident's chart, the Social Worker explained there was no evidence of his involvement documented in the resident's chart at the Nursing Home because he has the information in a file in his office at his other place of work. The Social Worker was interviewed regarding Resident #13's financial concern and he stated he wasn't sure if the resident was eligible for any funding. The Social Worker offered no explanation for the lack of documentation in the Resident's chart to indicate he had addressed this concern. The Social Worker acknowledged that he was aware of Resident #13's request for discharge and stated that an effort was made 3 or four months ago to send him to his family, but no one was willing to take responsibility. The Social Worker could offer no explanation for the lack of documentation in either the Social Work progress notes or Interdisciplinary notes to indicate He had attempted to address this problem. During an individual interview held with Resident #5 on 9/11/20 13 at 6:00 P.M., the resident discussed her discharge plans with the surveyor. The resident stated she was a bit concerned about returning home without help as she lived alone. The resident stated a member of her family was helping her to make arrangements to return home. The resident stated she was not aware that the facility had a social worker and had never received a visit from a Social Worker to discuss her discharge plans or concerns. The resident stated, but, I would like to speak with one as soon as possible. A telephone interview was conducted with the resident ' s family on 9/12/13 at 11:30 A.M. This family member stated she was making arrangements for the resident to return home as quickly as possible as that is her desire. She stated the resident was due for discharge in a few days and would be returning to her own home where she lives alone. The family member said the resident will need some assistance during the day due to her developing confusion, and she was not sure who could provide that service. She stated she had never seen a Social Worker during her visits to the facility, had not received a telephone call from the Social Worker, and had not received help from the Social Worker to assist her with the resident ' s discharge plan. The resident's medical record was reviewed 9/11/13 and was found to not contain evidence of the Social Worker ' s involvement with this resident's discharge. During an interview with the Director of Nursing Services to investigate resident complaints, the DON explained that the Social Worker comes to the facility part-time in the evenings because he has a full-time job during the day. She stated the Social Worker set his own hours and was scheduled to work on Monday, Wednesday and Thursday evenings from about 6 P.M until 9 P.M. The DON acknowledged that most of the residents began to prepare for bed at around 6 to 7 P.M., after finishing their dinner meal. An interview to discuss resident concerns was held with the Administrator on 9/11/2013 at 1:45 P.M. The Administrator explained that it was difficult for the facility to find qualified Social Workers. She stated the social Worker employed by the facility does come in for a few hours in the evenings. The Administrator stated the Social Worker does make sure the residents Medicaid certifications were completed and did sign off on the MDS. The Administrator did acknowledge that most residents began to prepare for bed around 6:30 P.M. following completion of the evening meal. On Wednesday 9/11/13, although the Survey team remained in the facility until 7:30 P.M., the Social Worker did not appear on site as scheduled. At least one resident, Resident#5 awaited his arrival. The Director of Nursing confirmed on 9/12/2013, the next morning that the Social Worker did not come to the facility at all during the previous evening. |
2017-01-01 |