cms_GA: 8177
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8177 | TWIN VIEW HEALTH AND REHAB | 115540 | 211 MATHIS AVENUE | TWIN CITY | GA | 30471 | 2011-11-10 | 318 | D | 0 | 1 | EU8311 | Based on observation, record review, staff interview, and resident interview, the facility failed to ensure that one (1) resident (B) who had a limited range of motion, on the total survey sample of thirty-three (33) residents, received treatment, related to the application of a left hand splint per the Occupational Therapy and Physical Therapy plans, to prevent a further decrease in the resident's range of motion. Findings include: 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. Contracture Assessments of 02/03/11 and 8/22/11 both documented that the resident had very limited range of motion (ROM) to left shoulder, left elbow, left wrist, and fingers of the left 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) assessment of 4/09/11 which indicated a Skilled OT plan to provide treatment including orthotics fitting and training, and an OT note of 6/02/11 documented that a hand splint had arrived for application to the resident's left upper extremity. A subsequent OT Evaluation of 10/31/11 documented that the resident had received therapy from 4/09/2011 to 6/15/11, and had then been referred to the Restorative Nursing Program with hand-splinting. Additionally, a Physical Therapy (PT) Evaluation of 6/16/11 indicated that PT would provide treatment 3 times weekly for 30 days, including orthotics/prosthetics training. A PT Discharge Summary of 7/14/11 documented that PT had discharged the resident, and a 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. However, further record review revealed no evidence to indicate that this left hand splint had been applied to the resident's hand subsequent to the development of the PT and OT plans specifying the splint application, and referral to Restorative Nursing Program for splint application. During an 11/09/11, 10:20 a.m. observation of, and interview with, Resident B, the resident's left hand was again observed to be contracted, with the fingers bent inward, but no splint was observed to be applied to the resident's left hand at that time. Resident B stated that staff had applied a splint to his left hand in the past, but that it had gotten lost and had not been applied in a while. During an 11/10/11, 11:40 a.m. interview with the Director of Nursing (DON), the DON acknowledged there was no documented evidence of application of the splint to the resident's left hand, further acknowledging that the splint was not currently available, as it had been lost. During an 11/10/11, 11:55 a.m. interview with the OT, the OT stated that when Resident B had been referred to the Restorative Nursing Program in June of 2011, he would have had the splint at that time, and that Restorative Nursing staff would have documented the splint application after referral to the Restorative Nursing Program. The OT further stated that the resident's left hand splint had not been discontinued and should be a current intervention for the resident's left hand contracture. | 2016-06-01 |