Spjst Rest Home 1
SPJST REST HOME 1 in TAYLOR, TX — inspection on June 6, 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
The facility failed to assess and document the injuries of Resident #1 after advising staff her hand was tender to touch.
The facility failed to immediately assess Resident #1 after the allegation of physical abuse was made to LVN A.
Action:
On 6/04/2024, the DON designated an LVN to make a referral to Psychological Care, and Resident #1 was evaluated by their psychologist.
The psychologist reported to the DON on 06/04/2024 that resident was doing great.
The psychologist will continue to visit with the resident until she discharges her from psychological services. On 06/04/2024, the DON assessed the resident's hands where injuries occurred during transfer. DON stated that the resident has no more pain and that the injuries are in the final stages of healing. No follow-up will be needed for the bruises on the resident's hands.
Starting 06/04/2024, The DON or designee will in-service and retrain nursing staff on policy and procedures of transfers.
Safe transfers must be performed by all staff who work in patient care areas.
All CNA's and nurses are required to follow transfer procedures.
Education will include stand by, one person assists, 2 person assist, sliding board, sit to stand (Sara lift), Hoyer lift, and the stand and pivot.
Return demonstration will be provided by the trainee to confirm understanding.
The ADON or designee will monitor 4-5 transfers per week for 3 months to verify company policies and procedures are followed thoroughly and report findings to the DON and/or administrator weekly.
Starting 06/04/2024, The DON or designee will in-service and re-educate all nursing staff on when resident physical assessments should be completed, and appropriate documentation made. If a resident makes any type of physical abuse allegation, then a complete head-to-toe physical assessment must be completed by the charge nurse. If injuries are found on assessment, appropriate documentation in observations and progress notes should be made as well as documentation of provider informed.
Progress notes should be made on each shift by the charge nurse stating a detailed update on the injury site.
Staff will be educated on when families should be informed of injuries or findings in a timely manner.
676290
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 676290 B.
Wing 06/06/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Spjst Rest Home 1 1810 Old Granger Road Taylor, TX 76574
The facility failed to follow their policy when physical abuse was confirmed.
Action:
On 6/04/2024, the DON designated an LVN to make a referral to Psychological Care, and Resident #1 was evaluated by their psychologist.
The psychologist reported to the DON on 6/04/2024 that resident was doing great.
The psychologist will continue to visit with resident until she discharges her from psychological services. On 6/04/2024, the DON assessed the resident's hands where injuries occurred during transfer. DON stated that the resident has no more pain and that the injuries are in the final stages of healing. No follow-up will be needed for the bruises on the resident's hands.
676290
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 676290 B.
Wing 06/06/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Spjst Rest Home 1 1810 Old Granger Road Taylor, TX 76574