F280

Based on observation, interview, record review, Center for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) User's Manual, and facility policy review, it was determined the facility failed to revise resident care plans for one (1) of nine (9) sampled residents, Resident #1. Resident #1's care plan was not revised to reflect the resident's elopement risk or the application of a Code Alert device. On [DATE], Resident #1 exited the facility around 2:30 PM without staff knowledge. Around 2:50 PM staff discovered Resident #1 walking alone down the driveway at the front of the building toward the street. Interviews with staff revealed they had not observed the resident exit the building. …

Lyndon Crossing, LLC · Kentucky

Based on review of facility policy, medical record review, and interview, the facility failed to update the Care Plan with interventions for 3 residents (#7, #6, #4) of 7 residents reviewed. The facility's failure to identify risk and update the care plan with approporiate interventions resulted in falls with injuries (HARM) for resident #7,#6, #4. The findings included: Review of facility policy, Accidents and Supervision to Prevent Accidents (dated: 4/28/2011), revealed .The center provides an environment that is free from accident hazards .Implementation of interventions to reduce hazard(s) and risk(s) .Monitors to verify interventions are in place .Evaluates interventions at designated interval for effectiveness .Modifies and/or replaces ineffective interventions when necessary . …

Smith County Health and Rehabilitation · Tennessee

The facility reported a census of 37 residents. Based on observation, interview and record review the facility failed to review and revise the plan of care for 2 sampled residents related to falls (106 and 101). Findings included: The 4/28/17 annual MDS ( minimum data set) documented the resident #106 with A BIMS (brief interview for mental status) score of 8 (8-12 indicated moderately impaired cognition), independent with walking in his/her room, used a cane for mobility, and had no history of falls. The 10/27/17 quarterly MDS documented him/her with long and short term memory problems, and cognition remained moderately impaired, he/she required supervision with walking, and had no falls since the prior MDS. …

Winfield Rest Haven II, LLC · Kansas

Based on full and limited record reviews, interviews, and review of the facility policy titled Care Conference, Interdisciplinary, Planning and Implementing, the facility failed to prepare, review and revise a comprehensive plan of care which addresses Advanced Directives 11 of 11 residents reviewed for Advanced Directives. The facility failed to include the Certified Nursing Assistant in the care planning process for 10 out of 11 residents reviewed for interdisciplinary care plan participation. Resident # 4, Resident #21, Resident #34, Resident #2, Resident #23, Resident #65, Resident #6, Resident #45, Resident # 48, Resident #61, and Resident #47 not have advanced directives addressed on their comprehensive care plans. There was no evidence that a C.N.A. …

Willow Brooke Court At Park Pointe Village · South Carolina