cms_GA: 6885
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 |
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6885 | OAKS - SCENIC VIEW SKILLED NURSING, THE | 115393 | 205 PEACH ORCHARD ROAD | BALDWIN | GA | 30511 | 2013-02-14 | 157 | D | 0 | 1 | P02P11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview the facility failed to notify the physician timely for two (2) residents on a sample of thirty-three (33) residents. One resident, (Q) developed a pressure ulcer and one resident, (# 253) had significant weight loss. Findings include: Resident #253 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. The resident had an admission weigh of 200.8 pounds. Further review of the weight record indicated the resident had a weight of 190.4 pounds on 12/25/13 which indicated a significant weight loss of 5.1% since admission. In addition, the resident had a weight of 179.2 on 1/12/13 which indicated a significant weight loss of 21.6 pounds or 10.7% in one month. The resident had an Admission Minimum Data Set assessment dated [DATE] which indicated the resident had no weight loss or gain prior to admission. Review of the Weight Progress Notes Form revealed an entry dated 12/27/12 which identified a weight loss of 10.4 pounds since admission. A snack at 3:00 p.m. each day of milk and a sandwich was added as an intervention. However, there was no indication the physician was notified of the significant weight loss. During an interview on 2/13/13 at 3:50 p.m. Licensed Practical Nurse AA stated she was aware of the weight loss on 12/25/12 and should have completed the Form for Significant Weight Loss. She further stated this would have reminded her to notify the physician of the significant weight loss. She confirmed she did not notify the physician of the significant weight loss until 2/12/13. Review of resident Q's clinical record revealed they were admitted to the facility with a fractured left hip, and also had [DIAGNOSES REDACTED]. Review of a right foot and ankle x-ray obtained on 02/04/13 revealed that the resident had a [MEDICAL CONDITION] malleolus and distal fibula, with mild lateral subluxation of distal tibia. Review of orthopedic physician's orders [REDACTED]. Review of Nurse's Notes dated 02/09/13 revealed that the resident was noted with a raised blister to the lateral malleolus. Review of physician's orders [REDACTED]. During interview with LPN Treatment Nurse BB on 02/13/13 at 8:55 a.m., she stated that the ankle blister developed from the velcro walking boot. During further interview, she stated that the blister was discovered on a Saturday by the charge nurse, and the weekend treatment nurse used a facility protocol to cover the area with an [MEDICATION NAME] dressing. During interview with LPN CC on 02/13/13 at 9:15 a.m., she stated that when she found the blister on resident Q's ankle on 02/09/13, she did not call the physician because it was a weekend. Upon further interview, she stated that she notified the physician by making an entry of the new wound in the Medical Consultation Log kept at the nurse's station. Review of the facility's policy and procedure entitled Actual Loss of Skin Integrity: Stage II/Partial Thickness Wound Protocol noted to notify the physician and legal representative of any new areas. | 2017-09-01 |