Centennial Healthcare And Rehabilitation Center (September)
Based on observation of review of clinical record, interviews with staff and observation of resident care, it was determined that the facility failed to accommodate the individual needs of one resident, by not placing their call bell with their toileting and bathing needs. In a clinical record review of Resident 2, an undisclosed diagnosis was revealed. The initial observation of Resident 2, was in the nursing resident’s room on September 20,2012 at 10:30a.m. Resident R2 was observed sitting in a bariatric wheelchair at the foot of the bed, with the bedside table behind the resident, the call bell was observed to be attached to the pillow at the head of the bed.
During an interview with Resident 2 and in observation it was revealed that he did not have the ability to turn the wheelchair around or move the tray table to reach the call bell. During the interview it was revealed that a staff person left the resident in this position. In a second observation, it was revealed that at 11:15a.m he was still sitting in the same position, still unable to reach the call bell. Resident R2 also revealed that he needed to empty his bladder and was unable to get staff attention because of where the call bell was located and therefore had an incontinence episode. The resident stated to the Surveyor how embarrassed he was by the situation. In review of the clinical record it was revealed bathing schedules which indicated that the resident was to be bathed on Monday and Thursday’s. In an interview with Employee E4 on September 20, 2012 at 2:00p.m., revealed that Resident R2 was not bathed on Thursday, September 6;Monday, September 17 and Thursday, September 20,2012. Employee E4, could not explain why Resident R2, went without being bathed. Employee E4, could not explain why Resident R2, went without being bathed. According to an interview with Employee E2, it was confirmed that the facility is not accommodating the individual needs of Resident R2.
Based on resident interviews, staff and observation, it was determined that the facility failed to maintain the brakes for the wheels on resident breaks. In review of the clinical record for Resident 1, it was revealed that they were admitted to the facility from the hospital after having two falls at home, per physician’s orders. In a fall risk assement, completed on September 11, 2012, it was revealed that the nursing home resident was assessed as a moderate risk for calls. In an observation of Resident R1’s bed on September 20, 2012, at 11:00a.m., it was revealed that the break of the wheel on the left side of the head of the bed did not function properly. The resident’s bed was easily moved out of place. In an interview with the Resident at the time of the observation revealed that she had spoken to several staff members about her concern with the wheel brake not working properly. The resident’s bed was easily moved out of place. In an interview at the time of the observation, it was revealed that she had spoken to several staff members about her concern of the wheel brake not working properly.