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True or False:
LPA conducted a file review to find a prescription from a physician giving approval for the use of restraints, but the files reviewed did not have any documentation approving restraints.
LPA conducted a file review of each resident’s file to find a prescription from a physician giving approval for the use of restraints. The files reviewed did not have any documentation approving soft ties/restraints.
During the tour, how many resident restraints were observed?
During this visit, LPA toured the facility to observe if there are any residents with restraints. During the tour no restraints were observed. At the time of the visit, most residents were attending a day program and were not available for interview
True or False:
Two residents were restrained in wheelchairs with rope.
Each resident shall be free from corporal or unusual punishment, humiliation, intimidation, mental abuse, or other actions of a punitive nature. R1 and R2 are restrained in wheelchairs with seatbelts.
Match this deficiency with the proper Plan of Correction.
(Mark all that are correct)
A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed. R1 & R2 have wheelchairs with seatbelts attached without a physician’s order on file.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 11/28/2016 Section Cited 87608(a)(3) | 87608(a)(3) Postural Supports. A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed. R1 & R2 have wheelchairs with seatbelts attached without a physician’s order on file. | Administrator will submit plan of correction to LPA by POC due date. Administrator will ensure restraints are only used with the proper physician’s order. |
| Type B 11/28/2016 Section Cited 87468 a(1) | Personal Rights. Each resident shall be accorded dignity in his/her personal relationships with staff, residents and other persons. Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Each resident shall be free from corporal or unusual punishment, humiliation, intimidation, mental abuse, or other actions of a punitive nature. R1 and R2 are restrained in wheelchairs with seatbelts. | Administrator will submit a plan of correction regarding the proper use of restraints and ensure that resdents have physician’s approval on file. |
