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Complaint Investigation

Western Horizons Care Center

Inspection Date: June 19, 2024
Total Violations 1
Facility ID 355042
Location HETTINGER, ND

Inspection Findings

F-Tag F689

Harm Level: Minimal harm or
Residents Affected: Few * Determining the CNA failed to follow safety practice during a resident bath.

F-F689 is considered past non-compliance. The facility implemented corrective actions for the resident affected by the deficient practice by: Level of Harm - Minimal harm or potential for actual harm * Completing an investigation following the incident, and

Residents Affected - Few * Determining the CNA failed to follow safety practice during a resident bath.

The facility implemented measures to ensure the deficient practice does not recur by:

* Educating/re-educating bath aides starting on 06/10/24 regarding tub/shower safety,

* Revising the facility policy titled, Bath/Shower Tub to include the wording of, Electronic devices are not to be near bathtub or shower while resident is bathing, in or near standing water.

* Continued CNA education on Bath/Shower Tub policy,

* Adding an audit tool to monitor use of hair dryer as a quality assurance measure.

This surveyor determined a deficient practice existed on 06/07/24. The facility implemented corrective actions by 06/11/24 and continues with staff education and safety monitoring.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 355042

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