NORMAN, OK – MEDICAL PARK WEST REHABILITATION & SKILLED CARE

Based on observation, interview, and record review, the facility failed to provide ADL assistance in a timely manner for five (#1, 2, 6, 8, and #10) of seven sampled residents reviewed for ADL assistance.
The administer identified 89 residents who lived in the facility.
Findings:
1. Resident (Res) #6 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
An admission assessment, dated 01/17/22, documented the resident was moderately cognitively impaired, required extensive assistance with ADLs, and had one stage III pressure ulcer.
On 01/25/22 at 11:37 a.m., the resident’s call light was on when the surveyor entered Hall 4.
At 12:12 p.m., the surveyor entered the resident’s room. The call light was still on. Res #6 was asked the reason her call light was on. She stated she wanted to lie down. She stated she got up at 10:00 a.m. and was back from therapy at 11:00 a.m. and at that time had put her call light on. She stated her light had been on for over an hour. She stated her bottom was sore from sitting. She said two staff had been in to check on her but they said they were not able to transfer her to bed, but would get someone else to help her. She said there were times she had sat for three hours waiting for someone to help her. She stated she been provided one bath since her admit. The resident’s white linens had debris and had areas which were light brown in color. She stated there were not enough staff to answer the call lights timely.
At 12:21 p.m., the call light was answered by CNA #1. Res #6 asked the CNA to help her to bed. The CNA told the resident she needed to stay up for lunch then he would help her to bed.
At 12:45 p.m., the resident received her hall tray lunch meal. The resident sat in her wheel chair and started eating her lunch.
At 1:11 p.m., the resident had almost finished eating her lunch. The surveyor told the resident she was leaving to get some lunch and ask the resident to take note of the time when the staff helped her back to bed.
At 2:30 p.m., the resident was observed in bed. The resident pointed at the clock on the wall and stated stated she was helped backed to bed at 2:10 p.m.
On 01/26/22 at 1:58 p.m., the DON stated the CNA should have helped the resident back to bed to get her off her pressure ulcer.
On 01/26/22 at 2:04 p.m., CNA #1 stated he didn’t know the resident had a pressure ulcer. He stated he wanted her to stay up for lunch to get her strength up because she had stayed in bed for breakfast.
Res #6’s records had no documentation of baths provided.
On 01/27/22 at 1:10 p.m., the DON stated the residents should receive two to three baths a week or according to their preference.
2. Res #8 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
A significant change assessment, dated 10/26/21, documented Res #8 was cognitively intact and required extensive to total asssistance with ADLs.
A nurse note for Res #8, dated 01/09/22, read in part, At approximately 0800 hours, this nurse went into the resident’s room to take his breakfast order. The resident stated, I want to get out of bed today. I explained to the resident that there was only one aide on the floor, that the two nurses that were currently working, which included me, the writer of this note, and one other nurse were unable to get him out of bed because if would be unsafe to do so at this time .
On 01/25/22 at 4:24 p.m., Res #8 stated he has had only had four showers since he had been at the facility. He stated there was not enough staff and had to wait hours for his call light to be answered.
No bathing documentation was found in Res #8’s medical record.
3. During Res #1’s first stay, from 10/20/21 through 12/05/21, his bathing record documented he received four baths during the 46 day stay.
A quarterly assessment, dated 12/16/21, documented Res #1 required total assistance with bathing.
During Res #1’s second stay, from 12/12/21 through 01/2/22, his bathing record documented he received two baths during the 18 day stay.
4. A quarterly assessment, dated 12/05/21, documented Res #2 required total assistance with bathing.
Res #2’s bathing record, documentated one bath for November 2021 and one bath for December 2021.
Res #2 left the faciity on [DATE] and no bathing documentation was found for January 2022.
5. Res #10 was admitted to the facility on [DATE] with [CONDITION(S)] following a [CONDITION(S)].
The bathing records for Res #10 documented five baths for November 2021, no baths for December 2021, and three baths for January 2022.
A quarterly assessment, dated 01/16/22, documented Res #10 was cognitively intact and required extensive assistance with ADLs.
On 01/25/22 at 11:02 a.m., Res #10 stated she did not get baths when she needed them and did not get changed in a timely manner. She stated it had been two to three weeks since she had a bath. She stated it takes 30 minutes or longer for call lights to be answered and did not make it to the toilet in time.