cms_GA: 8184
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8184 | GRACEMORE NURSING AND REHAB | 115554 | 2708 LEE STREET | BRUNSWICK | GA | 31520 | 2012-07-26 | 309 | D | 0 | 1 | K1RN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it was determined that the facility failed to ensure that the correct amount of sliding scale insulin was given as ordered for three times in the month of July 2012 for one resident (#41) in a total sample of 25 residents. Findings include: Resident # 41 had a [DIAGNOSES REDACTED]. There was a 6/17/12 physician's orders [REDACTED]. The physician's orders [REDACTED]. The physician's orders [REDACTED]. Review of the Medication Administration Record [REDACTED]. On 6/19/12, the physician increased the sliding scale coverage to fifteen (15) units of [MEDICATION NAME] regular insulin for blood sugar levels over 400. On 6/24/12, the physician ordered that the [MEDICATION NAME] regular insulin dose be increased to twenty (20) units for blood sugar levels over 400. Review of the MAR for July 2012 revealed that the resident had blood sugar levels over 400 on 7/3, 7/6 and 7/14/12. However, the licensed nurse only gave 10 units of [MEDICATION NAME] regular insulin to the resident instead of the 20 units that had been ordered by the physician on 6/24/12. The physician's orders [REDACTED]. In an interview on 7/25/12 at 3:45 p.m., the Director of Nursing and the Clinical Care Coordinator AA confirmed that AA had not changed the resident's MAR (to reflect the most current physician's orders [REDACTED]. Therefore, licensed nursing staff failed to give regular [MEDICATION NAME]as ordered when the resident had blood sugar levels over 400 on 7/3, 7/6 and 7/14/12. | 2016-06-01 |