cms_GA: 8197
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8197 | PRUITTHEALTH - SYLVESTER | 115629 | 104 MONK STREET | SYLVESTER | GA | 31791 | 2012-01-26 | 282 | D | 0 | 1 | O3X711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and staff interview, it was determined that the facility failed to implement the plan of care for one resident (#47) who was at high risk for developing pressure ulcers and to administer pain medication as ordered for one resident (#2) from a total sample of 33 residents. Findings include: 1. Resident #47 was assessed and coded by the facility on the 1/6/12 quarterly Minimum Data Set assessment as at risk for pressure sores and as having a history of pressure sores. The resident had a care plan since 1/11/12 with interventions for nursing staff to apply heel protectors and to float his/her heels as needed, to turn and reposition him/her every two hours and, for a pressure relieving mattress to be on the resident's bed. However, it was observed that the resident remained positioned in the bed positioned on his/her right side and laying on a deflated air mattress on 1/24/12 at 8:15 a.m., 9:05 a.m., 10:20 a.m. and at 11:15 a.m. There were not any pressure relieving device between the resident's knees or feet. Also during those observations, the resident was not wearing any heel protectors and his/her heels were not floated as instructed in the plan of care. Additional observations were made of the resident laying in the bed on a deflated air mattress with his/her heels resting directly on the mattress without wearing any heel protectors on 1/23/12 at 2:45 p.m. and 4:00 p.m., 1/25/12 at 10:00 a.m. and 10:30 p.m. and on 1/26/12 at 9:00 a.m. and 11:20 a.m. During an observation and interview with licensed staff AA on 1/26/12 at 11:20 a.m., he/she confirmed that the air mattress was deflated because it was unplugged from the wall. He/she also stated that the mattress that was underneath the air overlay was not a pressure relieving mattress. See F314 for additional information regarding resident #47. 2. Resident #2 had a care plan since 8/17/11 to address his/her risk for pain and discomfort related to peripheral [MEDICAL CONDITIONS] and joint contractures. There was an intervention for licensed nursing staff to medicate him/her as ordered. The resident had a physician's orders [REDACTED].#3 three times a day. However, review of the nursing staff's documentation on the resident's January 2012 Medication Administration Record [REDACTED]. See F309 for additional information regarding resident #2. | 2016-06-01 |