Congregational Home, Inc.
Congregational Home, Inc. in BROOKFIELD, WI — inspection on February 5, 2025.
Found 1 citation. 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-F689) Congregational Home will provide an environment that is free from hazards over which the facility has control and will provide appropriate supervision to each resident to prevent avoidable falls.
Under Procedure documents 10.
The Charge Nurse caring for the resident that has fallen will complete the following forms: * Skilled Nursing Fall Incident Form A note from appropriate licensed and direct care staff providing care to the resident prior to fall and any witnesses if applicable. * With head trauma the Charge Nurse will complete Evaluation if the resident will require further medical work up and be transported to the Hospital emergency room . * Head Trauma Craniotomy Check Flow Sheet will be initiated with all unwitnessed falls. 11.
The Charge Nurse will initiated an intervention help reduce risk of future falls. 12.
The Charge Nurse will update POC (plan of care) and the CNA (Certified Nursing Assistant) Care Plan. 13.
The Nurse Care Manager/RN (Registered Nurse) Supervisor on duty at time of fall will review all Charge Nurse follow up and documentation including: *Care plans. *Nursing notes. *And assure the new intervention/s and any ongoing interventions to prevent future falls are appropriate.
1.) R2's diagnoses includes unspecified dementia severe with psychotic disturbances, anxiety disorder, epilepsy, atrial fibrillation, hypertension, and depressive disorder.
The Falls CAA (care area assessment) dated 6/28/24 documents under the analysis of findings for nature of problem/condition: Morse fall scale score of 19, High risk for falls. Hx (history) of 2 recent falls.
See delirium, cognitive, communication, pain CAA for details. Dx (diagnosis) of new seizures, vascular dementia. BIMS (brief interview mental status) score 3/15.
Less and less awareness of safety, ability limitations, non ambulatory.
Full body lift for transfers up in Broda chair. PRN (as needed) oxycodone medication therapy.
Polyneuropathy see NP (Nurse Practitioner) note 6/10/24.
Under the Care Plan Considerations section it documents: Newly assigned to hospice.
Ongoing decline in mobility & strength, cognitive communication skills.
Potential for falls.
Goal is for comfort. No falls, injury.
Nursing to anticipate and assist with mobility and ADL (activities daily living) deficits, monitor for safety 1:1 PRN (as needed), encouraging to be in a more supervised area.
Bed canes for bed mobility, confusion and forgetful.
Ensure has hearing aids.
Thick full mat to side of bed.
Dycem to recliner.
Gripper socks.
Check and change for incontinence cares.
See falls care plan.
The Quarterly MDS (minimum data set) with an assessment reference date of 9/13/24 has a BIMS score of 3 which indicates that R2 has severe cognitive impairment. R2 has fallen since prior assessment with 2 or more falls, no injury and 2 or more with injury (except major).
525700
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 525700 B.
Wing 02/05/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Congregational Home, Inc 13900 W Burleigh Rd Brookfield, WI 53005