Siloam Healthcare, Llc

During an observation on 01/13/2025 at 2:05 PM, Resident #35 was wearing a soft helmet and was sitting in a wheelchair.

During an interview on 01/17/25 at 8:28 AM, Licensed Practical Nurse (LPN) #7 stated that Resident #35 was dressed by staff and unable to take footwear off by themselves.

During an interview on 01/17/2025 at 8:47 AM, LPN #3 stated Resident #35 had slid of the bad a few times. LPN #3 stated that if the resident urinates in bed at night, the resident gets fidgety and crawls out of bed because the resident does not know how to use the call light for assistance. LPN #3 stated the resident was no longer in a merry walker and was in a regular wheelchair.

During an interview on 01/17/25 at 9:11 AM, Registered Nurse (RN) #4 stated that Resident #35 was fully dependent on staff dressing them and had never seen them remove footwear.

During an interview on 01/17/25 at 9:48 AM, Certified Nursing Assistant (CNA) #5 stated Resident #35 was a fall risk because the resident was unable to use their legs. CNA #5 stated staff dressed Resident #35 and the resident was not able to take off socks or shoes independently. CNA #5 stated that one of Resident #35 ' s fall interventions was non-slips socks on at all times. CNA #5 also stated that the resident used a walker and not a wheelchair for ambulation.

During an interview on 01/17/25 at 9:56 AM, CNA #6 stated Resident #35 was a fall risk, the resident does not use to call light for assistance, and it had been approximately 5 months since the resident was changed from a merry walker to a wheelchair. CNA #6 stated Resident #35 was unable to take off socks and shoes by themselves.

During an interview on 01/17/25 at 10:06 AM, Minimum Data Set (MDS) nurse stated Resident #35 already had proper footwear as a fall intervention prior to a fall on 01/07/2025and stated it was not acceptable to repeat a fall intervention that is already in place. MDS nurse stated the Director of Nurses (DON) formulates the fall interventions, and she places them on the care plan.

The MDS nurse stated that the resident no longer used a merry walker and was changed to a wheelchair, however, the MDS nurse verified that the care plan had not been updated to reflect the change.

The MDS nurse stated not all fall interventions are indicated on Kardex, where the CNAs complete their charting, so CNAs would not know all of the fall interventions. At the end of the interview, the MDS nurse stated Resident #35 ' s care plan was not accurate or up to date.

045356

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 045356 B.

Wing 01/17/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Siloam Healthcare, LLC 811 West Elgin Street Siloam Springs, AR 72761