Diamond Care Center
DIAMOND CARE CENTER in BRIDGEWATER, SD — inspection on June 21, 2024.
Found 5 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-F554, Resident Self-Administration of Medications, indicated, All nursing staff are required to complete medication education with post test.
All new hired nurses/CMAs [certified medication aides] will be required to complete medication storage training.
-There were 17 employees who had completed the training.
--Those staff included seven nursing staff members, four dietary staff members, two housekeeping staff members, one laundry staff member, one maintenance staff member, one activity staff member, and the administrator.
*The provider's PoC for citation
F-F686, Treatment/Services to Prevent/Heal Pressure Ulcer, indicated, Education on repositioning and offloading including techniques to prevent pressure injuries implement for nursing staff on 7/5/24.
Education to be reviewed and quiz to be completed for Nurses, CMAS [medication aides] and CNA's [Certified Nurse Aides].
New hires for nursing staff will be required to complete the quiz as part of the new hire orientation.
-There were 19 staff members who had completed the training.
--Those staff included one dietary staff member and 18 were nursing staff members.
*The provider's PoC for citation
Observation on 6/20/24 at 11:29 a.m. with registered RN N during a dressing change for resident 15 who was on enhanced barrier precautions (EBP) revealed she:
*Put on a gown and a pair of gloves while in the hallway outside resident 15's room and with those gloved hands she:
-Picked up a basket of supplies from the shelf in the hall.
-Entered the room and turned the light switch on
-Moved the resident's personal items off the bedside table.
-Placed a paper towel on the bedside table and placed the basket on that paper towel.
-Touched the bed control to raise the bed.
-Moved blankets to uncover the resident.
-Opened the resident's brief to view the pressure area and then closed the brief.
-Covered the resident.
-Uncovered the resident's foot and removed the resident's sock.
-Sprayed wound spray on several pieces of gauze.
-Sprayed the resident's toe with the wound spray, touched a darkened area on the resident's toe with the wet gauze, and then touched that darkened area directly with those same gloved hands.
*Removed and discarded those gloves then washed her hands.
*Opened the bathroom door, gathered new gloves, closed the door, moved the curtain, and then put on those gloves.
With those gloved hands she:
-Moved the bedside table closer to the bed.
-Opened a package of betadine swabs and wiped the resident's toe with the swab.
-Took a gauze pad from the basket and placed it on the barrier next to the basket.
435114
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 435114 B.
Wing 06/21/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Diamond Care Center 901 N Main Ave Bridgewater, SD 57319
F-F761, Label/Store Drugs and Biologicals, indicated, All nursing staff are required to complete medication storage education with a post test.
All new hire nurses/CMA's [CMAs] will be required to complete medication storage training.
-There were 11 staff members who had completed the training.
435114
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 435114 B.
Wing 06/21/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Diamond Care Center 901 N Main Ave Bridgewater, SD 57319
Review of the provider's 6/10/24 SD DOH FRI revealed:
*On 6/10/24 at 12:36 p.m. hospice registered nurse (RN) L contacted interim director of nursing (IDON) G and informed her that resident 1 had open sores on her buttocks.
-Dressings had been provided on 6/7/24 by hospice to the provider's staff.
-The provider's staff did not use the dressings for resident 1 as they just put her in wheelchair and applied cream to buttocks.
-Hospice RN H spoke with the provider's licensed practical nurse(LPN) I and stated to apply the dressing once resident 1 was placed back into her bed.
*On 6/10/24 after the conversation between hospice RN L and IDON G, IDON G notified resident 1's family that she had developed pressure sores to her bilateral buttocks likely over the weekend.
-IDON G then had LPN J place the standing order dressings on the wounds.
Review of resident 1's medical record revealed:
*She was admitted on [DATE].
*She was admitted to hospice on 1/9/24.
*On 6/6/24 two reddened areas were identified on her buttocks.
-On 6/7/24 hospice provided Optifoam (foam dressing with adhesive borders) dressings for the reddened area.
*Her family was notified on 6/10/24 of the pressure ulcers and their condition.
*On 6/11/24 a Wound Documentation assessment was completed which indicated the onset date as 6/6/24.
-The 6/11/24 Wound Documentation indicated there were currently six areas identified as pressure wounds.
-Areas identified and the measurements of each were:
435114
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 435114 B.
Wing 06/21/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Diamond Care Center 901 N Main Ave Bridgewater, SD 57319
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.