Firesteel Healthcare Center

Review of the provider's submitted 12/17/24 SD DOH FRI regarding resident 2 revealed:

*She had an unwitnessed fall on 12/11/24.

*She was found lying in her bathroom doorway with a lump and an abrasion (layer of skin broken) on the back of her head and an abrasion on her upper lip.

*Registered nurse (RN) I had completed a full skin assessment, vitals, a post fall neurological evaluation, cleaned her wounds, and he manually lifted resident 2 off the floor by himself.

Review of resident 2's electronic medical record (EMR) revealed:

*She was admitted on [DATE]

*She had a Brief Interview for Mental Status (BIMS) assessment score of 0, which indicated she was severely cognitively impaired.

*Her diagnoses included moderate protein-calorie malnutrition, anxiety disorder, and major depressive disorder.

*She had been admitted to hospice for end-of-life care.

*She needed the assistance of two staff for transfers between surfaces.

*Her neurological evaluation was not completed at the designated times by RN I following her fall on 12/11/24.

2.

Review of the provider's submitted 12/17/24 SD DOH FRI regarding resident 3 revealed:

*He had fallen on 12/11/24 in the hallway heading back to his room from supper.

*RN I had taken vitals and completed a full skin evaluation.

*RN I did not find any injuries on resident 3 and stated he felt comfortable lifting the resident off of the floor without a full body mechanical lift.

Review of resident 3's EMR revealed:

435109

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 435109 B.

Wing 01/02/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Firesteel Healthcare Center 1120 East 7th Avenue Mitchell, SD 57301