cms_GA: 5966
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5966 | ABBEVILLE HEALTHCARE & REHAB | 115623 | 206 MAIN STREET EAST | ABBEVILLE | GA | 31001 | 2015-08-13 | 279 | D | 0 | 1 | BPJ811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interviews the facility failed to develop and revise a care plan for two (2) resident's # (17 and 44) from a total of twenty-six (26) sampled residents. Review of resident #17's Comprehensive Minimum Data System (MDS) revealed the resident was admitted to the facility on [DATE]. Active [DIAGNOSES REDACTED]. A review of the Electronic Medical Record (EMR) revealed that the resident had falls documented by nursing staff on 02/01/15, 02/23/15 and 07/27/15. During an interview with the Director of Nurses (DON) on 08/13/15 at 4:15 p.m. it was revealed that the nurse's on the floor do the updates to the care plan. The DON confirmed that the care plan for resident #17 was not updated or revised for falls that occurred on 02/01, 02/23, and 7/27/15. Record review for resident #44 revealed a fall from a chair on 08/09/15, resulting in an injury. Further review revealed that on 08/03/15, the resident was found sitting on the floor between the wheelchair and the bed. On 07/26/15 the resident was found lying on the floor with resulting injury. Additional falls were noted on 05/16/15 and 12/07/14. A review of the resident's plan of care indicated that the resident was at high risk for falls, with communication/comprehension difficulty, gait/balance problems, and incontinence. The Care Plan was initiated 08/22/14. All interventions were dated 08/22/14. No new interventions had been added. Interview on 08/13/15 at 2:18 p.m. with the Director of Nurses revealed that nursing and other staff are expected to update care plans as soon as possible after every fall. she also stated that new interventions should be put in place with each fall. Interview with the Administrator on 08/14/15 at 4:25 p.m. revealed that care plans should be updated with each fall and new interventions should be implemented with each fall. | 2018-05-01 |