cms_GA: 6790
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6790 | MAGNOLIA MANOR OF ST SIMONS REHAB & NURSING CENTER | 115582 | 2255 FREDERICA ROAD | SAINT SIMONS ISLAND | GA | 31522 | 2013-02-14 | 329 | D | 0 | 1 | NIB111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and record review, it was determined that the facility failed to follow the physician's orders for psychoactive medications for one resident (#52) in a total sample of 38 residents. Findings include: Resident #52 was admitted in June of 2011 with [DIAGNOSES REDACTED]. There was a 1/29/13 physician's telephone order for nursing staff to discontinue giving [MEDICATION NAME] to the resident and give 0.5 milligrams (mg) of [MEDICATION NAME] twice a day. That order was on the Physician's Order Form for February, 2013 for agitation and was scheduled to be given at 9 a.m. and 5 p.m However, a review of the January and February Medication Administration Records (MARs) revealed that nursing staff failed to discontinue the [MEDICATION NAME] as ordered on [DATE]. Licensed nursing staff had given the resident both the [MEDICATION NAME] and the Risperdone, until after surveyor inquiry on 2/13/13. During a telephone interview on 2/13/13 at 3:15 p.m., Hospice Nurse HH said that she had been monitoring resident #52 for his/her response to the change in psychoactive medication from [MEDICATION NAME] to [MEDICATION NAME]. The Hospice nurse said that he/she had observed that resident #52 was more sedated and quiet since the [MEDICATION NAME] was started but, did not realize that the facility failed to stop the [MEDICATION NAME]. The Hospice nurse said that the failure to discontinue the Haloperidal could contribute to sedation for resident #52. In an interview on 2/14/13 at 8:30 a.m., the Director of Nurses (DON) stated that, after surveyor inquiry, the Medical director had made rounds last evening (2/13/13) and evaluated resident #52. Review of the 2/13/13 Physician's Progress Note revealed that the physician had documented that there were no adverse effects from the [MEDICATION NAME] and [MEDICATION NAME] both having been given to resident #52 and that the [MEDICATION NAME] was discontinued yesterday (2/13/13). | 2017-10-01 |