cms_GA: 8093
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8093 | COOK SENIOR LIVING CENTER | 115655 | 706 NORTH PARRISH AVE . | ADEL | GA | 31620 | 2013-08-15 | 282 | D | 0 | 1 | FB2I11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and record review, it was the facility failed to follow the care plan to provide passive range of motion and splint application for one (1) resident (#40) and to implement the care plan intervention to report to the physician and obtain timely treatment of [REDACTED].#47) of three (33) sampled residents. Findings include: Review of the clinical record for Resident #40 revealed that the resident had a current physician's orders [REDACTED]. Record review of the resident's Quarterly Minimum Data Set (MDS) of 7/12/13 revealed impaired function of range in motion of both upper and lower extremities on one side. The resident is assessed as receiving restorative nursing care for both passive and active range of motion seven (7) days per week with no splint assistance. Review of the resident's care plan dated 2/22/13 for impaired mobility and right sided weakness with the following interventions: active assist range of motion left upper and left lower extremities daily as tolerated, passive range of motion right upper and lower extremities daily as tolerated, knee splint to be worn three hours on the right knee and then three hours on the left knee daily as tolerated. Place pillow between legs if wearing splint in bed, perform range of motion prior to applying knee splint. The resident was observed in the bed on 8/13/13 at 2:30 p.m. and 4:00 p.m., on 8/14/13 at 8:30 a.m., 12:00 p.m. and 5:15 p.m. and on 8/15/13 at 8:35 am, and 11:00 a.m. with no splints on the resident's knees or right hand. During an observation of the restorative nursing care on 8/15/13 at 12:40 p.m., the restorative aide failed to provide range of motion to the right knee before applying the knee splint. The aide also failed to provide range of motion to the right hand and arm prior to applying the hand splint and there was no range of motion done to the left upper and lower extremities as outlined in the plan of care. During an interview with Certified Nursing Assistant (CNA) AA on 8/15/13 at 12:40 p.m. revealed that she that if the resident was in the bed, then the knee splints were not applied and revealed that the splints were only applied if the resident was up in the chair. Cross Refer to F318 Review of the resident #47 care plan revealed a care plan, since admission on 3/18/13, for impaired skin integrity with an intervention to monitor skin for redness, irritation, open areas and to document, report and take action as indicated. A Weekly Skin Assessment form dated 4/3/13, that was completed by licensed nursing staff, documented a four (4) inch long by two (2) inch wide red and broken area to the resident's right buttock. Review of the clinical record revealed no documentation that the physician was notified and a physician's orders [REDACTED]. An interview with the Director of Nursing (DON) on 8/15/13 at 10:43 a.m. revealed that the physician should have been notified and a new treatment order obtained on 4/3/13 when the pressure ulcer was first identified. Cross refer to F314 | 2016-07-01 |