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