Pleasanton North Nursing And Rehabilitation
PLEASANTON NORTH NURSING AND REHABILITATION in PLEASANTON, TX — inspection on June 7, 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
During an interview on 6/5/24 at 11:02 a.m. the DON stated she became aware of the incident the morning of 3/29/24 where Resident #11 became combative during care with CNA A.
She stated CNA A was interviewed by phone on 4/3/24 at 4:11 p.m. and told her the resident was combative during care and beat her up, she continued with care because he was naked.
The CNA noticed the skin tears after, and reported it the charge nurse or LVN B on 3/28/24.
The DON stated the other staff working did not witness the incident and the resident was non-interviewable.
The DON stated it was treated more like an injury of unknown origin than abuse and neglect because the resident had a history of arthritis, and she did not think the CNA A did anything to the resident.
The DON stated because she did not suspect abuse they did not report it right away.
The DON stated on 4/2/24 they did an x-ray to his left hand due to new onset swelling and it showed a possible fracture.
The DON stated because of the new finding of a possible fracture they reported it to the state on 4/2/24.
675502
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 675502 B.
Wing 06/07/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Pleasanton North Nursing and Rehabilitation 404 Goodwin St Pleasanton, TX 78064
During an interview on 6/5/24 at 11:02 a.m. the DON stated she became aware of the incident the morning of 3/29/24 where Resident #11 became combative during care with CNA A.
She stated CNA A was interviewed by phone on 4/3/24 at 4:11 p.m. and told her the resident was combative during care and beat her up, she continued with care because he was naked. CNA A noticed the skin tears after, and reported it the charge nurse or LVN B.
The DON stated the other staff working did not witness the incident and the resident was non-interviewable.
The DON stated they ordered an x-ray of his right hand on 3/29/24 because most of the swelling and injuries were to his right hand.
The DON stated the resident had a history of being combative with care and staff was instructed to just stop care if a resident became combative.
The DON stated CNA A did not stop care and finished changing him.
The DON stated CNA A still worked at the facility.
The DON stated it was treated more like an injury of unknown origin than abuse and neglect because the resident had a history of arthritis and she did not think the CNA A did anything to the resident.
The DON stated on 4/2/24 they did an x-ray to his left hand due to new onset swelling and it showed a possible fracture, they reported it to the state on 4/2/24.
During an interview on 6/5/24 at 3:59 p.m. CNA A described Resident #11's recent behavior with care as okay after the incident on 3/28/24. CNA A stated she continued to work with Resident #11 at the nursing facility after the incident but mostly worked on the woman's side now. CNA A stated she began working for the facility in March of 2024 and Resident #11 was really combative with care but since then was more familiar with her. CNA A stated on 3/28/24 she was providing incontinent care to Resident #11. CNA A stated this resident's bed was against the wall. CNA A stated she told Resident #11 what she was about to do for care and stated, I went to turn him and put on his brief he did not want to me to change him he kept getting out of the bed. CNA A stated Resident #11 was upset that she was providing peri care and she had to keep him in the bed. CNA A stated Resident #11 let her remove his pants but when she went to put on the clean brief it went on from there. CNA A stated Resident #11 got out of the bed, grabbed her scrub top, ripped her top, and pulled her hair.
The CNA A stated she kept helping Resident #11 put his legs back in the bed.
She stated, I would explain to him about putting his legs back in the bed. CNA A stated she never left or called for help because she usually could get them to calm down on her own. CNA A stated the resident had no injuries after the incident. CNA A stated she did not know how the resident had injuries to his hands or arms. CNA A stated she was not suspended pending an investigation. CNA A stated she did not know why she would be suspended because that would make it sound like she did something to the resident. CNA A stated she did not have specific training after this incident for handling combative residents.
She stated she had recent training after another incident at the facility not related to this resident or her.
She stated they also had annual training for abuse and neglect. CNA A stated she should have called for help to have a witness for the resident's safety and her safety.
675502
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 675502 B.
Wing 06/07/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Pleasanton North Nursing and Rehabilitation 404 Goodwin St Pleasanton, TX 78064