Glendale Uptown Home (March 9th)
Based on staff interview and observation, it was determined that the nursing home failed to ensure that the results of the most recent survey were readily accessible to residents. The findings included the following: Observation of the facility on March 9, 2012 revealed signage that the most recent survey results were available at the Reception Area and on the Nursing Units. These survey results were not available for review unless you requested them for the facility staff at the Reception Area and on all six nursing units. Further review of survey results in all seven areas revealed that the last survey results present in these books was dated May 25, 2011 where nine survey visits had taken place and were not included in these survey books. During an interview on March 9, 2012, at 1:50 p.m. the Nursing Home Administrator confirmed the facility failure to ensure that the results of the most recent surveys were available to residents.
Based on clinical record review and interviews it was determined that the facility failed to issue an appropriate discharge notice to one of 30 residents reviewed. The findings included the following: Review of Resident R196’s clinical record revealed that the resident was admitted with an undisclosed diagnosis. Review of Resident’s R196’s clinical record revealed a quarterly Minimum Data Set assessment dated January 9, 2012, which indicated the resident was alert and oriented and could be understood and did understand and was independent in decision making. An interview with Resident R196’s family member on March 6, 2012 revealed that she had received a notice of discharge letter dated February 21, 2012 from the nursing home stating that the resident would be discharged from the facility on March 21, 2012. In an interview with Employee E9 from the business office, on March 7, 2012 at 11:00 a.m., confirmed that a letter had been sent to the resident’s family due to non-payment.
A copy of the letter was reviewed on March 9, 2012, which did not include information on the family’s right to appeal the decision and contact information for the state long term care ombudsman. In interview with R196, on March 9, 2012 at 10:00 a.m. the resident stated she was not aware of the discharge notice until the family member told her about the letter. The resident stated that she was never informed about the discharge plan. An interview with Employee E10, a social worker on March 9, 2012 at 11:00 a.m. revealed that she was not informed that a discharge letter had been sent to the resident’s family. A review of the resident clinical review record revealed no evidence that a 30 day notice of discharge letter had been sent to the family. An interview with the nursing home administrator on March 9, 2012 at 11:00 a.m. revealed that a discharge letter had been sent to the resident’s family and confirmed that the letter did not include the information on the family’s right to appeal and/or contact information on the ombudsman.