The Laurels Of Forest Glenn
The Laurels of Forest Glenn in Garner, NC — inspection on June 26, 2024.
Found 2 citations. 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
F-F604: Based on observations, staff, Responsible Party (RP), Medical Director (MD), Nurse Practitioner #1 (NP) and Paramedic #1 interviews and record review, when the facility moved the resident's bed against the wall to prevent her from getting out of the bed, they failed to identify this as a restraint, failed to complete a restraint assessment, failed to obtain a physician order and failed to obtain the RP's consent for the use of a restraint.
When the resident fell out of the bed she was wedged between the bed and the wall Resident #1 was assessed by facility staff and found to not have a pulse or respirations.
Cardiopulmonary Resuscitation (CPR) was started by the facility staff and assumed by paramedics. Resident #1 expired on [DATE].
This was for 1 of 3 residents reviewed for restraints (Resident #1).
345389
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 345389 B.
Wing 06/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Laurels of Forest Glenn 1101 Hartwell Street Garner, NC 27529
Review of the facility's electronic training records indicated the most recent restraint training was on [DATE] for the following staff: Nurse #1, Nursing Assistant (NA) #8, Nurse #4, Medication Aide (MA) #1, NA #9, NA #10, Nurse #3, NA #12, Nurse #5, NA #13, NA #2, NA #3, MA #2, UM #1 and Nurse #2. NA #11 received her training on [DATE] and review of NA #1's New Employee Facility General Orientation Checklist dated [DATE] did not include any specific training on restraints.
An interview was completed on [DATE] at 1:12 PM with the Director of Nursing (DON).
She stated the facility did not currently have a Staff Development Coordinator (SDC) so she had been filling in with general orientation and ensuring certifications were not expired.
She stated the facility utilized an electronic education system that was programmed for different training subjects to be due for the staff at certain times of the year and the previous restraint training was [DATE].
The DON stated the training included a review of the risk associated with implementing a restraint, the different types of restraints, the facility's effort to create a restraint free environment, alternatives to restraints and the risk associated with the use of side rails.
She stated it was not up to the floor nurses to initiate restraints but rather to the nursing management team after an assessment, obtaining a Physician order and written consent from the resident's RP.
She stated the annual training for 2024 was already set up.
She stated it was clear that the staff needed re-education and clarification on the definition of restraints and accident hazards.
She stated she had all the staff completed retraining on again on [DATE] but clearly, there was still work to be done.
She stated NA #1 was a new hire on [DATE] and apparently the New Employee Facility General Orientation Checklist that was completed with NA #1 didn't have anything on it regarding restraints and she was unable to find any kind of orientation competency checklist.
The Administrator was notified of Immediate Jeopardy on [DATE] at 11:55 AM.
The facility provided the following credible allegation of immediate jeopardy removal with a date of [DATE]:
Identify those recipients who have suffered, or are likely to suffer, a serious adverse outcome as a result of the noncompliance:
345389
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 345389 B.
Wing 06/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Laurels of Forest Glenn 1101 Hartwell Street Garner, NC 27529