cms_GA: 8824
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8824 | MEMORIAL MANOR NURSING HOME | 115711 | 1500 EAST SHOTWELL STREET | BAINBRIDGE | GA | 39819 | 2015-08-12 | 278 | D | 1 | 0 | I93Y11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2.) Resident #04 was admitted to the facility in January 2014 was a [DIAGNOSES REDACTED]. Review of the Annual Minimum Data Set (MDS) assessment dated [DATE] revealed no antipsychotic medications in Section N. Review of the August 2015 Physician order [REDACTED]. Review of the October 2014 and November 2014 Medication Administration Record [REDACTED]. Interview with the MDS Coordinator AA on 8/11/15 at 12:48 p.m., revealed that the coding on this particular MDS was incorrect and stated that she gets her information from the diagnosis, and medication in Point Click Care (PCC). Based on record review and staff interviews, the facility failed to ensure that the Minimum Data Set (MDS) accurately reflected the assessment of two (2) residents (#01 and #04) regarding pressure sores, and anti-psychotic medication from a total sample of ten (10). Findings include: 1). Resident #01 was admitted to the facility in January 2014 with a [DIAGNOSES REDACTED]. Review of the Quarterly MDS assessment dated [DATE] revealed that Section M: Skin Conditions had no evidence of any unhealed pressure ulcers at Stage one (1) or higher. Review of the Wound Care: Weekly Wound Assessment/Condition Report (Pressure and Non-Pressure) dated 7/03/2015 revealed a Suspected Deep Tissue Injury (SDTI) to the right heel, which was first observed on 6/30/15. Review of the Wound Care: Weekly Wound Assessment/Condition Report (Pressure and Non-Pressure) dated 7/30/15 revealed a Stage two (2) to the left heel, which was first observed on 6/30/15. Interview with the Treatment Nurse GG and the MDS Coordinator AA on 8/11/2015 at 1:00 p.m., revealed that the MDS was miscoded regarding the pressure sores. Continued interview revealed that the right heel was a reddened area and the left heel had an unstageable deep tissue injury due to slough in the wound bed at the time of assessment. | 2015-10-01 |