cms_GA: 10565
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10565 | PRUITTHEALTH - GREENVILLE | 115658 | 99 HILLHAVEN RD. | GREENVILLE | GA | 30222 | 2009-08-05 | 323 | D | DOSV11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review and staff interview the facility failed to ensure that an intervention, clip alarm, to prevent falls was implemented for one (1) resident (#1) from a sample of twenty one (21) residents. The findings include: Observations of resident #1 conducted 08/03/09 at 10:55 a.m. and 12:50 p.m. revealed the resident had no clip alarm on the bed. Further observation on 08/04/09 at 7:55 a.m. revealed there was no alarm on the bed. A second observation on 8/04/09 at 10:30 a.m. revealed the resident was in bed and no clip alarm was on. Interview with Licensed Practical Nurse ( LPN) "BB" on 8/4/09 at 11:00 a.m. revealed an clip alarm was located and applied to the resident. Review of the clinical record for resident #1 revealed he was admitted [DATE]. Review of Nurse's Notes revealed he had three (3) falls since admission. These falls occurred on 06/13/09, 07/25/09 and 07/27/09 and were a results of the resident attempting to toilet himself. Following the 07/27/09 fall, the facility added an intervention of a bed clip alarm. Review of the care plan for resident #1 revealed he was care planned for the risk for falls on 05/09/09. On 7/27/09 the care plan was updated to include a clip alarm to bed. | 2014-04-01 |