Aurora Valley Care
AURORA VALLEY CARE in SPOKANE, WA — inspection on June 12, 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
F-F600 for additional information.
505114
Findings included .
Review of the facility policy titled, Fall and Injury Prevention and Management Care Plan revised 01/2023, showed the facility would revise a resident's care plan and/or center practices to attempt to determine casual factors that may have led to a fall, to prevent future occurrences and reduce the likelihood of another fall.
The facility was to assess risk factors and hazards to identify potential interventions to implement.
Review of the facility policy titled, Fall Injury Management- Post Fall or Injury revised 01/2023, showed proper action following a fall included: assessing for injury, determining potential cause, or contributing factors, addressing potential contributing factors, revising the care plan and/or center practices to reduce the likelihood of another fall, and communicating a fall to the physician and the resident representative in a timely manner.
The policy instructed staff to initiate and complete a fall incident report, complete a fall risk assessment, determine potential causes to the fall, review and revise fall interventions, and communicate changes and/or interventions to staff.
Review of the quarterly assessment, dated 05/03/2024, showed Resident 4 admitted to the facility on [DATE] with diagnoses including non-traumatic brain dysfunction (complex medical condition that occurs when internal factors damage the brain), transient ischemic attach (TIA- temporary stoke like symptoms), and reversible encephalopathy (condition that affects the brain with mental changes, confusion, vision problems that may resolve when the underlying cause is fixed).
The assessment showed Resident 4 sustained two or more non injury falls, and one injury fall since their admission to the facility. Resident 4 had severe cognitive impairment which was a change in mental status from their baseline cognition.
Review of the 04/24/2024 fall risk assessment showed Resident 4 was at high risk for falls because they had a history of falling and overestimated/forgot their limitations.
Review of April 2024 through June 2024 nursing progress notes showed Resident 4 sustained 13 falls in 44 days between 04/23/2024 through 06/06/2024. Resident 4 had falls on: 04/23/2024 at 10:48 AM, 05/01/2024 at 11:45 PM, 05/07/2024 at 2:54 PM, 05/10/2024 at 3:29 PM, 05/17/2024 at 2 AM, 05/23/2024 at 8:20 AM, 05/24/2024 at 3:15 AM, 05/28/2024 at 9:50 PM, 05/30/2024 at 10:14 AM and 7:50 PM, 06/02/2024 at 10:13 PM, 06/05/2024 at 8:16 PM, and 06/06/2024 at 9:24 PM.
All 13 fall incident reports for Resident 4 were requested from Staff A, Administrator on 06/07/2024 at 8:18 AM, only 8 out of 13 fall incident reports were provided.
505114
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 505114 B.
Wing 06/12/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Aurora Valley Care 414 S University Rd Spokane, WA 99206