How many deficiencies does your facility have?

[TheCommuter, BSN, RN]

How many state-issued deficiencies does your workplace have?

I think that the facility in which I am currently employed takes the cake in this category. The most recent full book state survey of the nursing home where I work yielded a whopping 47 deficiencies, 8 of which were IJ tags (immediate jeopardy).

[SuesquatchRN, BSN, RN]

Whoa.

We got a couple of potential harm - one related to someone smoking in a shower and we didn't do an investigation after the resident denied it, dings for baseboards that needed painting and stained ceiling tiles, one for a dirty area in the kitchen, another for storing meat on top of veggies, one for an elopement - we got her in the parking lot, and one harm for a resident who doesn't belong with us but for whom we can not find another placement.

[mondkmondk]

I'm not sure how many total we got, but nursing only got 2. One was for documentation and I think the other was for someone's wound or something like that. I'll look in the survey book when I go to work this weekend.

Blessings, Michelle

[TheCommuter, BSN, RN]

I'll look in the survey book when I go to work this weekend.

The most recent survey book at the facility where I am employed was/is tremendously thick. In fact, it is a monstrosity of a book. The last time I flipped through it, the thing was nothing short of a whopping 700+ pages. Both the front and the back of each page was printed on to make the best utilization of space. In the state where I live, the survey booklets are usually one-sided and only a few pages long.

[RNMLIS]

My former facility got one deficiency (back up meds?) -Now has a 5 star with the new rating system - I was shocked but 'we' spent 6 months getting ready for the survey - had several mock surveys with a corporate team, rewrote documentation etc.. blah blah - the place is a hell hole - chaos on wheels and a crime committed everyday...

[CapeCodMermaid, RN]

Suesquatch---why did they tag you for an elopement? Did you have a wander guard system or some other system in place? Most of the facilities around here get less than 7 tags...we got 3 really picky minor tags. I was screening a resident at another facility..they bragged they didn't get any nursing tags. The ONE chart I looked in had the same things my facility got tagged for. So...it's the mood of the surveyors on the day they are in your building and the luck of the chart pick. But 47 tags? I've never heard of that!

[TheCommuter, BSN, RN]

But 47 tags? I've never heard of that!

Yes. 47 deficiencies is quite an anomaly in the city where I reside, but that is what our facility got slammed with not too long ago. Every single department got slammed brutally with the exception of one.

[SuesquatchRN, BSN, RN]

Suesquatch---why did they tag you for an elopement? Did you have a wander guard system or some other system in place? Most of the facilities around here get less than 7 tags...we got 3 really picky minor tags. I was screening a resident at another facility..they bragged they didn't get any nursing tags. The ONE chart I looked in had the same things my facility got tagged for. So...it's the mood of the surveyors on the day they are in your building and the luck of the chart pick. But 47 tags? I've never heard of that!

Honestly? She was moved to a Merri-walker. She kept removing her Wanderguard so we placed in on the walker. Well, Houdini unclipped her personal alarm, opened the Merri-walker, and waltzed through the front doors. She was immediately intercepted by the family member of another resident when she asked him for a cigarette.

We got dinged because she got out. NY is a-may-zing.

[SuesquatchRN, BSN, RN]

Oh, and they didn't like her care plan. Nor the investigation of when she was last seen. We had her for "distant supervision" which is, obviously, impossible. I did not write that intervention.

She is care-planned that if she elopes the alarms will alert staff who will apprehend (oh, sorry, redirect) her immediately.

[CapeCodMermaid, RN]

We have wanderguards, too. So the alarm goes off if they make it out the door and we get them back within 3 minutes. I wonder if I could write a new policy that elopement means OFF the premises not just out the door?

[SuesquatchRN, BSN, RN]

If they open the doors it is an attempted elopement. I would certainly differentiate between the two.

Have a very confused man who is always looking for his room. A month ago he opened my wing's emergency doors and set off the alarm. I whipped a Wanderguard on him. Last week he opened the front doors and didn't mzke it out. That was attempted. Had he crossed the threshhold I probably still would have called it an attempt. Had he made it two feet away from the doors it's an elopement.

Although Lord knows what NYS calls it.

[SuesquatchRN, BSN, RN]

Would be nice if my DON would write some actual definitions, though.