cms_GA: 6890
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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6890 | OAKS - SCENIC VIEW SKILLED NURSING, THE | 115393 | 205 PEACH ORCHARD ROAD | BALDWIN | GA | 30511 | 2013-02-14 | 325 | D | 0 | 1 | P02P11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to provide interventions to address a significant weight loss of 10.7 percent (%) in one month for one (1) resident (#270) on a sample of thirty-three (33) residents. Findings include: Review of the medical record for resident #270 revealed the resident was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. The resident had an admission weight of 200.8 pounds. Further review of the weight record indicated the resident had a weight of 190 pounds on 12/25/12 which indicated a significant weight loss of 5.1% since admission. In addition, the resident had a weight of 179.2 pounds on 1/12/13 which indicated the resident with at significant weight loss of 21.6 pounds or 10.7% in one month. The resident had an Admission Minimum Data Set (MDS) 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. An interview on 2/13/13 at 3:30 p.m. Licensed Practical Nurse AA stated the intervention to address the weight loss was a nursing intervention and confirmed the physician was not notified of the significant weight loss. Review of the facility's policy for the Weight Monitoring Program indicated if significant weight loss is identified the Weight Loss/Gain Checklist is completed, the resident would be added to the Colored Napkin Program and weekly weight team documentation would be performed and the resident would be evaluated for possible interventions to address the weight loss. Further review of the Weight Progress Note Form and the Nutritional Progress Notes revealed no evidence the additional weight loss of 11.2 pounds had been addressed and there was no evidence of additional interventions to address the weight loss. During an interview on 2/13/13 at 3:50 p.m. LPN AA stated she was in charge of the Weight Loss meetings which were held weekly to review residents with significant weight loss. She 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 and add the resident to her list of residents with weight loss which are reviewed in the weekly weight meetings. She further stated after reviewing her meeting notes, the resident was not being followed in the weight meetings and was not on the Colored Napkin Program. She further stated she did not show the resident as having a significant weight loss on the January 2013 weight report. She further stated the admission weight recorded on the weight report was entered incorrectly. | 2017-09-01 |