|§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 resident and staff interview, it was determined that the failed to meet residents' needs for assistance in a timely manner and failed to ensure fresh ice water was provided to promote each resident's quality of life in the facility including Residents 93, 151, 107, 113, 4, 60, and 365.
Interview with Resident 93 on August 27, 2019, at 11:30 AM revealed that the resident reported that the resident rings the call bell when toileting assistance is needed from staff Resident 93 stated the time for staff to respond often exceeds 15 minutes and can be greater than one hour. The resident stated he needs the assistance of two staff members for toileting, which increases the amount of time for staff to provide him toileting assistance.
Resident 93 also stated during interview on August 27, 2019, that staff are not passing fresh ice water to residents during each shift of nursing duty.
During interview with Resident 92 on August 28, 2019, at 10:30 AM, the resident also stated that staff are not passing fresh water to residents during each shift.
During a resident group meeting held on August 28, 2019, at 10:00 a.m., with six alert and oriented residents (Residents 151, 107, 113, 4, 60, and 365) all residents in attendance stated that during all shifts of nursing duty, the wait times for staff to respond to their requests for assistance, respond to the nurse call bell system and meet their needs is 30 minutes or longer. The residents relayed that they have raised the issue regarding extended call bell response time and significant delays to staff on each shift and during their Residents' Council Meetings, but the problem continues and has yet to be resolved by the facility. The residents also stated that the issue with call bell timeliness has not improved.
Interview with the director of nursing (DON) on August 29, 2019, at approximately 9:45 AM confirmed that staff are to respond to call bells timely and provide prompt assistance to residents, including toileting. The DON also stated that fresh ice water is to be passed on each shift and as needed to promote each resident's quality of life in the facility.
483.10 Resident rights
Previously cited: 7/13/18
28 Pa. Code 211.12 (a)(c)(d)(4)(5) Nursing Services
Previously cited: 7/13/18, 12/15/18, 3/26/19, 6/4/19
28 Pa. Code 201.29 (j) Resident Rights
Previously cited: 7/13/18, 12/15/18, 6/4/19
28 Pa. Code 201.18 (e)(1)(2)(3)(6) Management
Previously cited: 7/13/18, 6/4/19
| ||Plan of Correction - To be completed: 10/21/2019|
The residents were provide with fresh water during the survey. Unable to retroactively correct concerns with the call bells that occurred during the survey.
The facility will ensure that a sufficient number of walkie talkies and pagers are available for nursing & ancillary staff to ensure a timely response to call bells. A review of the system for providing fresh water will be reviewed to ensure compliance.
The facility will Re-educate the nursing staff that ice is to be passed every shift according to their assignment sheets on 7-3/3-11 shift and as instructed by the 11-7 LPN on night shift. The Facility will also be re-educated on the Answering Call Bell Procedure to ensure timely assistance in order to meet resident needs.
A QA designee will audit the availability of ice water each week via inspection and by resident interview. 3 audits per wing per week will be conducted times eight weeks. QA Designee will conduct 10 Call bell Satisfaction surveys weekly x 3 months to ensure appropriate response times and patient satisfaction. Results will be reviewed with the QA committee for review and recommendations. Audits will be modified as appropriate.