cms_GA: 8175
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8175 | TWIN VIEW HEALTH AND REHAB | 115540 | 211 MATHIS AVENUE | TWIN CITY | GA | 30471 | 2011-11-10 | 280 | D | 0 | 1 | EU8311 | Based on observation, record review, and staff interview, the facility failed to ensure that the Care Plan of one (1) resident (B), on the total survey sample of thirty-three (33) residents, was revised to reflect the use of a left hand splint. Findings include: Cross refer to F318 for more information regarding Resident B. Record review for Resident B revealed a Minimum Data Set assessment of 3/08/11 in which Section G, Functional Status, Functional Limitation in Range of Motion, indicated the resident had impairment on one side in both the upper and lower extremity, shoulder, elbow, wrist or hand. During an 11/08/11, 4:40 p.m. observation, Resident B was observed to have significant contracture of the fingers on his left hand. No splint was observed to be applied to the resident's left hand at the time of this observation. Record review revealed an Occupational Therapy (OT) note of 6/02/11 which documented that a hand splint had arrived for application to the resident's left upper extremity, and a subsequent OT Evaluation of 10/31/11 documented that after discharge from Skilled OT on 6/15/11, the resident had then been referred to the Restorative Nursing Program with hand-splinting. Additionally, a Physical Therapy (PT) Referral To Restorative Nursing form of 7/08/11 referred the resident to the Restorative Nursing Program, indicating a plan to apply a left hand/wrist splint for 6 hours daily, 3 hours in morning and 3 hours in the afternoon. Review of the resident's current Care Plan revealed an entry of 5/14/11 which identified a problem of the potential for further loss of range of motion related to contractures to resident's left side, including the wrist and fingers, with approaches having been developed to address this problem. However, there was no evidence to indicate that the Care Plan of Resident B had been updated to reflect the OT and PT plans specifying the application of the splint to the resident's left hand, per the Restorative Nursing Program. During an interview conducted on 11/10/11 at 10:11 a.m. with Minimum Data Set Coordinator CC, she indicated that the resident's splint usage should have been on the Care Plan, and during further interview on 11/10/11 at 11:05 a.m., she acknowledged that the splint usage was not on the resident's Care Plan. | 2016-06-01 |