cms_WY: 100
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
100 | BONNIE BLUEJACKET MEMORIAL NURSING HOME | 535019 | 388 SOUTH US HWY 20 | BASIN | WY | 82410 | 2017-04-06 | 520 | E | 0 | 1 | 508H11 | Based on observation, staff interview, and record review, it was determined that the facility did not have a Quality Assessment and Assurance (QAA) committee that identified concerns, developed and implemented action plans to correct the concerns, and monitored the facility's effectiveness to maintain a minimum standard of care for residents residing in the facility. The facility census was 25. The findings were: 1. A review of the QAA (Quality Assessment & Assurance) program was done on 4/6/17 at 9:33 AM with the ADON. The areas identified for performance improvement by the facility included abuse investigations, and grievances. The following concerns were identified: a. The facility identified abuse investigations as an area in need of improvement. Since this identification, the facility failed to ensure identified allegations were investigated as referenced in F225. b. The facility identified the grievance procedure as an area in need of improvement. The identified problem was resident/family grievances were not being recorded and the plan included a log being kept to record all grievances turned in by residents and family. The facility failed to ensure identified grievances were logged and resolved as referenced in F166. c. Interview with the ADON on 4/6/17 at 9:33 AM confirmed the the QAA program was not effective related to abuse identification and investigation, and grievance identification and resolution. | 2020-09-01 |