cms_GA: 5371
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5371 | OAKS HEALTH CTR AT THE MARSHES OF SKIDAWAY ISLAND | 115715 | 95 SKIDAWAY ISLAND PARK ROAD | SAVANNAH | GA | 31411 | 2015-02-05 | 329 | D | 0 | 1 | LJ4V11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, facility policy and staff interviews, the facility failed to monitor for potential side effects for one (1) of two (2) residents (#5) receiving an Antipsychotic medication from a sample of seventeen (17) residents. Findings include: Resident #5 was admitted to the facility on (MONTH) 1st, 2013 with [DIAGNOSES REDACTED]. Review of (MONTH) (YEAR) physician orders [REDACTED]. (an Antipsychotic) 25 milligrams (mg) daily. Review of the Electronic Medical Record (EMR) for resident #5 revealed no evidence of monitoring for potential side effects of an Antipsychotic medication. Interview with the Assistant Director of Nursing (ADON) on 2/3/15 at 3:50 p.m. revealed that there was no form in the EMR for monitoring potential side effects of Antipsychotic medications. Interview with the Director of Nursing (DON) on 2/4/15 at 1:00 p.m. confirmed that there was no consistent monitoring for potential side effects of an Antipsychotic medication performed for resident #5. Interview on 2/4/15 at 1:45 p.m. with the ADON confirmed no consistent monitoring for potential side effects of an Antipsychotic medication was conducted for resident #5. The ADON, who is also the Minimum Data Set (MDS) coordinator, stated that Abnormal Involuntary Movement Scale ( AIMS ) were conducted on 1/3/14, 3/7/14, 4/22/14, 7/22/14, and 2/3/15 on resident #5. On 2/5/15 at 8:35 a.m. the ADON produced a facility policy on Antipsychotic Medication Use which stated in #14 of the Policy Interpretation and Implementation that Nursing staff shall monitor and report any of the following side effects to the Attending Physician: Sedation, Orthostatic [MEDICAL CONDITION], Lightheadedness, Dry mouth, Blurred vision, Constipation, [MEDICAL CONDITION], Increased psychotic symptoms ([MEDICATION NAME]), Extrapyramidal effects, Akathisia, [DIAGNOSES REDACTED], Tremor,Rigidity,Akinesia, or tardive dyskinesia. | 2018-10-01 |