1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Allegation: Neglect of basic care:
Complaint alleges there is neglect of basic care for resident (R1) including the need for frequent brief changes, repositioning, grooming, bathing, linen changes, and adequate assistance with meals.
Resident moved to the facility on/around June 27, 2017 and at that time was enrolled in a health plan that offered comprehensive home and community-based healthcare services to its participants. Resident’s initial assessment completed by the facility notes that resident needs assistance with bathing/showering, dressing, personal hygiene, uses a wheelchair and is able to ambulate by themselves, and wears hearing aids. R1’s home health care plan was reviewed on 7/2/2020 as part of a scheduled semi-annual reassessment and notes that resident needs to use pressure relieving devices, including a cushion for their wheelchair, be monitored for skin breakdown and needs to change positions frequently to maintain skin integrity and be free from skin breakdown. Care plan for R1 also states that due to urinary incontinence, resident is at high risk for skin breakdown and staff at RCFE will continue routine peri-care. Resident’s care plan was updated by the facility on 9/16/2020 following R1’s return from a skilled nursing facility. R1’s updated care plan notes resident is receiving hospice services, requires assistance with a wheelchair, mainly stays in bed, is a difficult transport, and requires a two-person assist. Additionally, the care plan documents that resident needs daily hair and skin care, cleaning of their glasses, and fingernail care, as needed, and requires full assistance with dressing and bathing. The care plan also notes that R1 is scheduled to receive a bed bath on Tuesdays and Fridays during the “pm” shift, has occasional to frequent incontinence and is high risk for skin breakdown.
R1’s care plan was updated by the facility on 4/1/2021 and indicates that resident is receiving hospice services, uses a wheelchair occasionally, is scheduled for a bed bath twice weekly, toileted four times in a shift, requires assistance with oral care, and needs prompts at mealtime and staff to encourage fluids. |