| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531310 | (X3) Date Survey Completed 05/03/2012 |
| Name of Provider or Supplier Powell Valley Hospital | Street Address, City, State 777 Avenue H, Powell, WY | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| C0395 | COMPREHENSIVE CARE PLANS CFR(s): 485.645(d)(6) [The CAH is substantially in compliance with the following SNF requirements contained in subpart B of part 483 of this chapter: Comprehensive assessment, comprehensive care plan, and discharge planning (§483.20(b), (k), and (l), except that the CAH is not required to use the resident assessment instrument (RAI) specified by the State that is required under §483.20(b), or to comply with the requirements for frequency, scope, and number of assessments prescribed in §413.343(b)).] Comprehensive care plans (§483.20(k)(1)) "The facility must develop a comprehensive care plan for each resident that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. The care plan must describe the following- (i) The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being as required under §483.25; and (ii) Any services that would otherwise be required under §483.25 but are not provided due to the resident's exercise of rights under §483.10, including the right to refuse treatment under §483.10(b)(4)." This STANDARD is not met as evidenced by: Based on staff interview and medical record review, the hospital failed to ensure care plans were comprehensive for 5 of 5 swing-bed patients (#4, #5, #15, #20, #21). The findings were: Review of the care plans for swing-bed patients #4, #5, #15, #20 and #21 showed not all problems identified were included, goals were not measureable,and interventions were not individualized to meet the specific needs for each patient. Interview with the director of medical/surgical services on 4/30/12 at 6 PM revealed the care plan software program was not working properly and nurses were not remembering to write everything in the care plans and were not keeping them updated. She said the hospital was in the process of changing computer programs and she thought the new program would yield improved care plans. The director further said nurses did not use the care plans to direct or plan care anyway, they used a kardex instead. |