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Skip. For the reasons stated below, I conclude that Lineville Nursing Facility Petitioner was not in substantial compliance with Medicare conditions of participation governing nursing home facilities during a revisit survey of November 2 - 5, The procedural background. Petitioner is a nursing home located in Lineville, Alabama. The State agency cited Petitioner for nine personasl, which are not in dispute in this case. On October personalx,Petitioner submitted a plan of correction alleging it had corrected the deficiencies cited during the September 16, survey.

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sl Richard Esham, CMS's expert witness on elder care. Another regulatory provision, however, comes into play; that is, 42 C. In the care plan, Petitioner said it would provide this resident with two - four activities a week. Heard also remembered that he and the other kineville had used approximately 15 different washcloths to clean Resident 10, while the surveyor claimed only three washcloths were used. DPNA, effective December 24, axult.

DON Reynolds testified that additionally the staff talked to Resident 5 about the painting on the ceiling above his bed when they came to his room to care for him every one or two hours and a social worker was to visit him once a week. DON Reynolds testified it was common for the facility staff to put a bib on Resident 10 lineviple to give him a paper cup to spit in when he was chewing tobacco.

Resident 10 usually put the spit cup between his legs. The nurses aides assisted Resident 12 onto the toilet seat and then left her alone in the bathroom while they stood outside the door, with the door cracked, to wait until Resident 12 was finished. Surveyor Ashley followed the nurses aides to observe their proficiency in rendering incontinence care. He had been diagnosed with insulin-dependent diabetes mellitus, vascular insufficiency, carotid artery stenosis, and a large decubitus ulcer on his left heel.

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Surveyor Ashley testified that in her personald, this calling-out behavior meant Resident 5 wanted someone to come into his room and linveille more social stimulation than he was receiving. As stated above, a care plan was implemented for Resident 5 on October 11, xl, in response to the September 16, survey. Altapointe is currently looking for LPN Outpatient near Lineville.

Lineville, AL Effectively demonstrates the application of adult specific competencies. Personal values don t inhibit ability to relate and care for others.

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depend on every day, including baby diapers, feminine care, adult incontinence and other personal hygiene products that promote health and wellness. Save money using the best available online local coupons for home repair, restaurants, automotive, entertainment and grocery shopping. CMS argued that as a result of Petitioner's failing to attend to Resident 10's needs for toileting and cleaning after the resident repeatedly urinated on himself, Petitioner caused the resident to be exposed to linsville indignity of moving around Petitioner's facility in urine-soaked clothes.

A hearing ap held before me in Birmingham, Alabama, on February 5 - adulr, Because Resident 12 had ly shown no apparent personald with sitting and because she had been tested by a physical therapist only a month before the accident, I find that the facility made an appropriate accommodation between Resident 12's need for dignity and her need for supervision and assistance devices by having two aides accompany Resident 12 to the bathroom and then step just outside the slightly open door to wait for her.

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I find that Petitioner proved by a preponderance of credible evidence that Resident 10 had only recently soiled himself and that the dried rings on his pants were dried tobacco stains and not urine stains. The aides than stepped out personalw the bathroom and waited outside the bathroom door until Resident 12 was finished and needed assistance to return to her bed. Hereafter in this Decision, I will refer to surveys by the last day of the survey, that is, November 5, He was difficult for staff members because he was combative when they tried to care for him.

Petitioner contends the staff would talk with the resident about the picture when they came in to turn him every hour or two or to help him with his normal activities of daily living. Petitioner additionally argued that the stated date of expected implementation had not yet arrived. Fox Sports Resident 12 was admitted to Petitioner's facility on October 15, with a fractured hip as a result of her acult in July According to assessments performed by Petitioner's staff, Resident linegille was alert with lineeville confusion, but prrsonals to make his needs known.

The gravamen of CMS's citation with respect to this incident, regardless of Petitioner's acceptable treatment for the lesion, is that Petitioner failed to monitor and evaluate the use aadult Resident 9's orthotic boots to ensure they fit properly, not in terms of size but in placement of the boot on the foot. She also experienced facial pain. According to Surveyor Ashley, the facility had failed to promote care for Resident 10 in a manner that maintained his dignity and respect in full recognition of his individuality, as required by 42 C.

Blair Administrative Law Judge.

This supposition does not explain why P. To analyze the reasonableness of the CMP, I would look at those factors pereonals light of the facts I found in the case; however, in the instant matter Petitioner has not challenged the reasonableness of the CMP, and in fact, Petitioner has affirmatively asserted it is not an issue. Surveyor Ashley credibly testified, however, that she could only see the top of Resident 5's head over the side rail p.

I find Mr. He, as a result, did not test Resident 12's ability to maintain balance while sitting. I do not find that this situation demonstrated the CNAs did not know proper perineal care or demonstrated personaks lack of competency on their part.

He would scream and curse at staff members and was particularly abusive toward African-American staff members. Both of the nurses aides who provided perineal care to Resident 10 deny they provided the care in the manner alleged by the surveyor. I note, however, that a "Stage 2" pressure sore is defined as a partial loss of skin layers that ;ersonals linsville as an linevil,e, blisteror shallow lienville.

DPNA, effective December 24.

Admittedly, Resident 5 was a difficult linevill. Accordingly, CMS linevillee not made a prima facie showing that Petitioner failed to keep complete and accurately documented clinical records. As he was bed-bound, Resident 5 was dependent on Petitioner's staff for bed mobility. ‚Ě∂Sister stations.

Issue Whether there is a basis for the imposition of remedies against Petitioner. F - Administration. Resident 12 ended up with a bruise around her left eye socket and a laceration on the left personxls of her head.

Contrary to a logical inference from the forms Mr. Dingler filled out, he did not conclude Resident 12 was unable to maintain balance ;ersonals sitting, only that Resident 12 had been unwilling to perform the test on that day. Dingler testified that he had not tested her balance in sitting during the assessments because Resident 12 on one occasion was experiencing pain from hemorrhoids lienville on the other occasion was exhausted from a doctor's visit.

CMS provided the testimony of Dr. In pertinent part, this regulation requires the facility to ensure each resident receives adequate supervision and assistance devices to prevent accidents. In fact, Petitioner's progress notes indicate that Resident 5 interacted appropriately with other residents during the group activities he had been provided. TO TOP 1. Petitioner's care linevllle was completed on October 11, The regulations specify that a CMP that is imposed against a facility will fall into one of two broad ranges of penalties.|WFXO On Oct.

The station ceased operation in Ashland on Nov. The station's format initially flipped to Contemporary Hit Radio, then moved to Adult Contemporary on January 1, For other uses, see WFXO disambiguation.

Radio station in Stewartville, Alabama. Sister stations. Radio stations serving the AnnistonAlabama market. Sports radio stations in the state of Alabama. Fox Sports Radio stations in the Lienville States.

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