|§483.10(a) Resident Rights.|
The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this section.
§483.10(a)(1) A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident.
§483.10(a)(2) The facility must provide equal access to quality care regardless of diagnosis, severity of condition, or payment source. A facility must establish and maintain identical policies and practices regarding transfer, discharge, and the provision of services under the State plan for all residents regardless of payment source.
§483.10(b) Exercise of Rights.
The resident has the right to exercise his or her rights as a resident of the facility and as a citizen or resident of the United States.
§483.10(b)(1) The facility must ensure that the resident can exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility.
§483.10(b)(2) The resident has the right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights and to be supported by the facility in the exercise of his or her rights as required under this subpart.
Based on policy review, observation, and interviews, it was determined that the facility failed to accommodate resident needs during meal times for one of fifteen sampled residents, respond to call bell alerts for six of fifteen sampled residents, and did not post a schedule of snacks times for residents on two of four nursing units. (Resident 15, 25, 28, 31, 32) (North unit, East unit)
In an interview on March 26, 2019, at 11:30 a.m., Resident 28 stated that it takes a long time for staff to answer call bells, especially in the evening hours.
During a tour of the South nursing unit, on March 26, 2019, at 1:10 p.m., Resident 25's responsible party was observed requesting assistance from nursing staff to toilet her mother. The staff answered stating "she will have to wait because we are still passing meal trays."
In an interview on March 26, 2019, at 1:10 p.m., Resident 25's responsible party reported that she activated the call bell button at approximately 1:00 p.m. A staff member responded, turned off the call bell, and said she said she would get someone to help toilet her mother. The resident was not toileted by staff until 1:22 p.m.
In a resident group interview on March 27, 2019, at 10:45 a.m., Residents 15, 31, and 48 reported concerns regarding lack of call bell response by staff, especially during the night shift, and reported staff do not consistently offer evening snacks.
A review of a facility policy entitled "Frequency of Meals", dated November 13,2018, indicated that a schedule of snacks times shall be posted in resident areas. A tour of the North and East nursing units, on March 28, 2019, at 12:30 p.m., did not reveal any posted schedules for snacks.
28 Pa. Code 201.29(j) Resident's rights.
| ||Plan of Correction - To be completed: 05/17/2019|
R 13 Care plan was updated with current bed mobility status per therapy screen
Incidents and new interventions will be reviewed to ensure that care plan is updated.
Staff education will be completed by DON / designee to educate on care planning interventions related to incidents that occur.
Incidents will be reviewed by the interdisciplinary team to ensure that interventions are care planned. Audits will be done daily X 5, weekly X 3, monthly X 2 by DON / designee to ensure compliance. Audits will be reviewed at monthly QAPI X 3