cms_GA: 10622
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10622 | PALMYRA NURSING HOME | 115628 | 1904 PALMYRA ROAD | ALBANY | GA | 31702 | 2010-10-15 | 314 | D | E1CR11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews, observations and staff interview, it was determined that the facility failed to provide the treatment as ordered for healing for one resident, Resident #2, out of a sample of four residents with pressure sores, from a total sample of five residents. Findings include: Based on review of the documentation on the facility's Wound Record for Resident #2, revealed an unknown stage pressure sore to the right heel, which was facility acquired and first identified on 7/16/10. A review documentation on the Treatment Record revealed there was a treatment order, to cleanse the right heel with normal saline, apply [MEDICATION NAME] and dry dressing, and to change every three days. This order was discontinued on 10/11/10 when a new physician's orders [REDACTED]. However, during an observation of the resident's right heel and dressing on 10/15/10 at 3:10 p.m. with licensed staff member "AA" revealed that the dressing over the right heel pressure sore was the [MEDICATION NAME] dressing. The [MEDICATION NAME] was then reapplied at that time. Another observation of the resident's right heel with licensed staff member "AA" at 4:40 p.m. on 10/15/10 revealed that the [MEDICATION NAME] dressing was in place over the pressure sore on the right heel. This was confirmed by licensed staff "AA" at 3:10 p.m. and 4:40 p.m. during interview. A review of the documentation on the October 2010 treatment record on 10/15/10 at 3:45 p.m. revealed that the old treatment order to cleanse the right heel with normal saline, apply [MEDICATION NAME] and dry dressings, and to change every three days, was still being documented as done from 10/11/10 through 10/15/10. There no documentation that the new treatment order of 10/11/10 had been transcribed nor implemented by staff to cleanse the right heel with normal saline, apply Santyl and dry dressings, and to change every other day. This was acknowledged by licensed staff "AA" at 5:20 p.m. during an interview. | 2014-02-01 |