HospitalInspections.org

Based on record review and staff interview, the facility failed to complete comprehensive care plans 5 of 5 swing bed residents (Residents 32, 33, 34, 35 and 36) reviewed. This failed practice had the potential to affect all swing bed residents. The facility had 95 swing bed admissions for fiscal year 7/1/2022 - 6/30/2023.

Findings include:

A. Review of Resident 32's medical record (3/14/24 at 9:16 AM) revealed a swing bed admission of 11/14/23-11/27/23 for strengthening (physical therapy and occupational therapy). Review of the entire medical record revealed a lack of evidence of a comprehensive care plan being completed.

- Review of Resident 33's medical record (3/14/24 at 9:51 AM) revealed a swing bed admission of 11/22/23-12/4/23 for urinary tract infection. Review of the entire medical record revealed a lack of evidence of a comprehensive assessment being completed.

- Review of Resident 34's medical record (3/14/24 at 10:30 AM) revealed a swing bed admission of 1/19/24-1/30/24 for strengthening (physical therapy and occupational therapy) and chronic kidney disease (disease of the kidneys leading to kidney failure). Review of the entire medical record revealed a lack of evidence that the comprehensive care plan being completed.

- Review of Resident 35's medical record (3/14/24 at 10:54 AM) revealed a swing bed admission of 9/15/23-10/10/23 for osteomyelitis (bone infection) of right heel. Review of the entire medical record revealed a lack of evidence that the comprehensive care plan being completed.

-Review of Resident 36's medical record (3/14/24 at 11:25 AM) revealed a swing bed admission of 10/26/23-11/13/23 for strengthening (physical therapy, speech therapy and occupational therapy). Review of the entire medical record revealed a lack of evidence that the comprehensive care plan being completed.

B. Interview with the Social Worker (3/14/2024 at 11:30 AM) confirmed that 5 of 5 swing bed medical records lacked evidence of documentation of a comprehensive care plan.