cms_GA: 9759
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9759 | RIVER TOWNE CENTER | 115566 | 5131 WARM SPRINGS RD | COLUMBUS | GA | 31909 | 2012-10-04 | 318 | D | 0 | 1 | 506W11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and interview with a resident and staff, it was determined that the facility failed to ensure that restorative services were implemented to prevent a further decrease in range of motion (ROM) for one (1) resident "D" from a sample of forty (40) residents. Findings include: Resident "D" had a [DIAGNOSES REDACTED]. There was not any coding on the 10/03/12 MDS assessment to indicate that the resident had received skilled therapy services or restorative nursing services. In an interview with on 10/03/12 at 11:40 a.m. , Occupational Therapist (OT) "WW" said that resident "D" had been evaluated on 4/25/11 for positioning needs in order to feed himself/herself. Occupational therapist"WW" reported that the resident had improved to needing only minimum staff assistance with the use of a large handled spoon to eat so, he/she was discharged to restorative (nursing) services on 5/31/11 for self feeding and active/ passive range of motion (A/PROM) exercises. "WW" said the resident had been assessed and treated for [REDACTED]. "WW" said that hand rolls were applied because, the finger splints had been ordered but never arrived. "WW" stated the resident had been discharged on [DATE] to restorative nursing services for active and passive range of motion to all extremities and applications of the hand rolls. However, there was no evidence that restorative nursing staff had ever provided range of motion exercises or the application of hand rolls for the resident. Although the occupation therapist "WW" looked in the resident's room, she was unable to locate any hand rolls for the resident. It was observed at the lunch meal on 10/1/12 at 1:50 p.m. that staff fed the resident. It was observed that the resident was not wearing splints nor had hand rolls been applied. The resident's care plan since 5/14/12 did not address his/her risk of developing contractures or care to prevent them from developing or care to prevent further decline in range of motion. In an interview on 10/03/12 at 9:45 a.m., licensed nurse "AA" confirmed that the resident's care plan did not include the provision of care or services to address his/her contractures. . During an interview on 10/03/12 at 11:00 a.m., the Assistant Director of Nurses (ADON) "CCC" stated that resident "D" was not included on the master log of residents being provided restorative nursing services. She said that "the ball was apparently dropped somewhere." In an interview on 10/03/12 at 11:20 a.m., Health Information Manager "DDD" said that none of the restorative (nursing) records from 5/31/11 through 10/1/12 included the provision of restorative services for the resident. | 2015-05-01 |