cms_WY: 88
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 88 | BONNIE BLUEJACKET MEMORIAL NURSING HOME | 535019 | 388 SOUTH US HWY 20 | BASIN | WY | 82410 | 2017-04-06 | 166 | E | 0 | 1 | 508H11 | Based on resident, family, and staff interview, and policy and procedure review, the facility failed to ensure grievances were resolved for 4 of 4 sample residents (#12, #17, #20, #21) who voiced grievances. The findings were: 1. Interview with the resident #17's family member on 4/5/17 at 9:40 AM revealed a concern had been reported to the DON about CNA #2. The family member stated the CNA is rude and rough with the resident and forces the resident to use his/her injured arm to transfer which causes the resident significant pain. The family member felt that if the CNA gets in trouble for not caring for the resident then the resident would be retaliated against by the CNA not answering his/her call light or not providing assistance. The family stated, nothing gets done about the concerns, however, the family member was concerned about reporting it again out of fear the facility would discharge the resident. 2. Interview with the resident #17 on 4/5/17 at 1:50 PM revealed s/he had previously reported concerns about rough treatment by CNA #2 to the nurse and was told the nurse would talk to the CNA about it. The behavior did not improve and the resident revealed s/he was afraid to bring it up again. The resident felt the CNA was impatient and tells him/her to get up without providing assistance and the CNA gets louder when she is upset with the resident. Further, the resident stated s/he felt uncomfortable, like a burden, embarrassed, and intimidated by the CN[NAME] There was no evidence a grievance form was completed related to the resident's concerns. 3. Interview with resident #21 on 4/4/17 at 9 AM revealed the resident had reported, to the nurses and DON, that CNA #2 is rude. Further, the resident said s/he reported concerns about staff and was told s/he can go someplace else. There was no evidence a grievance form was completed related to the resident's concerns. 4. Review of a nurse's note dated 1/11/17 and timed 12:42 AM showed resident #21 reported s/he did not like the CNA that was in here. The nurse talked to the resident 1 to 1 at that time. There was no evidence a grievance form was completed related to the resident's concerns. 5. Review of a nurse's note dated 1/13/17 and timed 11:30 AM showed resident #21 complained of care that was provided. The nurse told the resident s/he needed to express his/her concerns to the DON and if (s/he) is not happy in this facility (s/he) could always consider another facility. There was no evidence a grievance form was completed related to the resident's concerns. 6. Review of a nursing note dated 1/15/17 and timed 1:50 PM showed resident #21 reported that aides were not taking him/her to the bathroom during the shift and the previous night. Further, the note showed the CNAs stated the resident was visiting with family and was taken to the bathroom after the visit. There was no evidence a grievance form was completed related to the resident's concerns. 7. Interview with resident #12 on 4/4/17 at 3:30 PM revealed the resident had reported to facility staff s/he wanted a new wheelchair, and also that s/he was missing an afghan blanket. 8. Interview with resident #20 on 4/5/17 at 1:30 PM revealed s/he was missing 23 tops, and s/he had reported the missing items to several CNAs. 9. Review of the grievance log showed there had been no identified grievances since (MONTH) (YEAR). There was no evidence a grievance form was completed related to the residents' concerns. 10. Interview with the social services director on 4/6/17 at 8:15 AM revealed the facility had not received any formal grievances since 6/9/16 and had identified the grievance system as an area for improvement in (MONTH) (YEAR); however, she was not aware of the grievances for resident #17, #20, or #21. Further, she revealed the facility has tried different wheelchairs for resident #12 and the resident had concerns with all of them; however, she was not aware the resident was missing an afghan blanket or that the resident was unhappy with the current wheelchair. 11. Review of the policy titled Resident Grievance Policy last revised on 4/25/16 showed .3. Resident Grievances will be tracked by the Quality Improvement Committee [NAME] Social Services will be responsible for tracking and reporting Resident Grievances quarterly, or more often as required, to the Quality Improvement Committee. B. Social Services will be responsible to make the administrator aware of on-going concerns .Process .1. Notify the Social Services Person for assistance in resolving the problem. The Social Service Person serves as the facility's in-house ombudsman. An ombudsman investigates complaints on behalf of the administrator and reports findings/resolution to the Administrator. This report may either be done verbally or written. The Social Service Person will be happy to write concern for the resident. 2. If you are not satisfied notify the Director of Nursing. 3. Should you remain unsatisfied, please take the concern to the Administrator. You are welcome to present the problem verbally or in writing. You may expect a response at each level as quickly as possible, certainly within 5 working days . 12. Review of Resident Rights received from the facility on 4/6/17 at 10:30 AM showed The facility shall protect and promote the rights as identified below. Each Resident, and his/her legal representative as appropriate, has the right: .11. To voice grievances and suggest changes in policies and services to either staff or outside representatives without fear of restraint, interference, coercion, discrimination or reprisal. The facility shall listen to and act promptly upon grievances and recommendations received from Residents and family groups . | 2020-09-01 |