West Newton Healthcare
WEST NEWTON HEALTHCARE in WEST NEWTON, MA — inspection on January 10, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the most recent Minimum Data Set (MDS) assessment, dated 10/18/24, indicated that Resident #74 was rarely/ never understood.
The MDS further indicated Resident #74 rejected care, was dependent on staff for activities of daily living and had a feeding tube.
The MDS indicated Resident #74 did not require physical restraints.
Review of Resident #74's current physician's order, with a start date of 5/25/23, indicated:
-May order and apply abdominal binder to secure PEG (feeding tube inserted into the stomach) tube.
Apply and secure binder when PEG tube is not in use.
Monitor for skin breakdown and notify MD, NP, or PA.
Patient at high risk for accidental self-removal of PEG tube, please secure when not in use to reduce risk of trauma and infection to PEG site.
-When PEG tube is not in use, please secure PEG tube using skin safe tape and gauze.
Patient high risk of accidental self-removal of PEG tube, please secure when not in use to reduce risk of trauma.
Review of Resident #74's NSH Nursing Evaluation - V 18, dated 4/23/24, 7/19/24, 10/12/24 and 1/4/25, indicated:
-Section M.
Restraints instructions: Restraints = Any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily which restricts the freedom of movement or normal access to one's body.
1. Is the resident currently using a restraint? Coded as no.
Review of Resident #74's plan of care on 1/6/25 failed to include documentation to support the use of the abdominal binder.
Review of Resident #74's medical record on 1/6/25 failed to include a consent from the Resident's health care agent consenting to the use of the abdominal binder.
On 1/8/25 at 12:51 P.M., the surveyor observed the abdominal binder across Resident #74's abdomen.
Nurse #4 said that Resident #74 was wearing an abdominal binder so he/she cannot pull out the g-tube. Resident #74 was unable to self-release the abdominal binder on command.
During an interview on 1/9/25 at 7:36 A.M., Certified Nursing Assistant (CNA) #2 said Resident #74 is totally dependent for care and Resident #74 is supposed to wear an abdominal binder at all times so he/she doesn't pull the tube out.
During an interview on 1/9/25 at 9:23 A.M., the Director of Clinical Operations #2 said the use of restraints requires quarterly assessments.
She reviewed the regulatory requirements for restraint use and said that Resident #74 should be able to self-release the abdominal binder.
225324
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 225324 B.
Wing 01/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
West Newton Healthcare 25 Armory Street West Newton, MA 02465