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 | there were (3) shifts that were deployed which were then broken down into (8) hour shifts for overall care and supervision unto the residents. The AM shift (06:00 am to 02:00 pm) reported a total of 14 primary care assistants (PCAs) on the most recently updated LIC 500 dated and completed on 05/20/2024. It was observed that the PM shift (02:00 pm to 10:30 pm) reported a total of 13 primary care assistants (PCAs) on record at this time. The NOC shift (10:00 pm to 07:00 am) reported a total of 5 primary care assistants on record at this time. It was learned that these reported staff numbers for the PCAs did not include the presence of Medication Technicians (Med Techs) who were also available to assist the PCAs if needed.
It was learned that staff assisting with meal preparations, serving the meals, and delivering meals had a total of 14 staff on file at this time on the reported LIC 500. These staff members were tasked with the responsibilities to serve the residents in the dining room as well as delivering meals to the residents who chose to eat in their own rooms. It was observed that meals were served in a timely manner with seating of the residents, service of the meals, and clean up of the main dining area afterwards. This also included the deliveries of the meals unto residents on the first and second floors to make sure that they were still hot and suitable for the residents.
Based on a review of the forms and documents conducted, it was learned that this facility employed a signal system that was triggered when a resident activated their pendant, or emergency pull cord, which in turn sent a signal to the main system. This main system then sent an alert to the facility staff, on their issued mobile devices, that a resident was in need of assistance. It was learned that the room number, or location of the activated signal, would be displayed so that facility staff would know where to locate and assist the resident. It was learned that once they located the resident, staff would address the need for service and reset the pendant or pull cord only after the issue(s) had been resolved.
Based on a review of the documents conducted, it was learned that this facility employed a system that tracked resident activation time, how long it took the staff to respond to the initial call, and how long it took the facility staff to address the issue and reset the pendant or pull cord. It was learned that facility staff took an average of 15 seconds to respond to the initial signal with a maximum of 57 seconds before responding to the calls for assistance. It was learned that facility staff took an average of 3 minutes and 38 seconds to assess the needs of the resident along with the reason for the signal activation before resetting the signal system.
Based on a review of the documents conducted, it was learned that the admission process for this facility supported the presence of the resident, their representatives, and a member of this facility. It was observed that an extensive interview was conducted to ascertain the cognitive abilities, as well as, the physical abilities of the resident which were all documented on the admission packet that was performed for every possible resident. |