cms_GA: 3371
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3371 | SOUTHWELL HEALTH AND REHABILITATION | 115655 | 260 MJ TAYLOR ROAD | ADEL | GA | 31620 | 2017-09-28 | 279 | E | 0 | 1 | YELK11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and record review, the facility failed to develop a care plan to address [MEDICATION NAME] use and antipsychotic medication use for one resident (#61), dental status for one resident (#110) from a total sample of 24 residents. Findings include: 1. Resident #61 had a physician's orders [REDACTED]. There was also a physician's orders [REDACTED]. However, a review of the clinical record revealed that facility nursing staff failed to develop a care plan for the use of the medications. During an interview on 9/28/17 at 9:28 a.m., the Director of Nursing (DON) stated that [MEDICATION NAME] and antipsychotic medications are medications that are usually included in the care plan. 2. Resident #110 was admitted with [DIAGNOSES REDACTED]. pylori infection and Stage II and Stage III sacral pressure ulcers (buttocks). The comprehensive MDS assessment dated [DATE] notes obvious or likely cavity or broken teeth and the 7/1/17 Dental Care Area Assessment worksheet states a care plan will be developed to adress the identified needs in this area. Review of the care plan dated 7/7/17 reveals a problem area for trouble swallowing but nothing for dental issues. During an interview on 9/27/17 at 10:30 a.m., the DON confirmed there was no care plan developed for the dental issues identifed on the assessment. | 2020-09-01 |