| 149 |
CARLYLE SENIOR CARE OF AIKEN |
425014 |
123 DUPONT DR NORTHEAST |
AIKEN |
SC |
29801 |
2018-11-30 |
573 |
E |
0 |
1 |
JLSM11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility policy titled Resident Rights and interview, the facility failed to provide copies of medical records to 5 of 5 residents who had requested them. Four of 10 residents in the Group Meeting (Residents #7, #31, #73, and #77) and Resident #43 stated they had requested copies of their medical records and had not received them. The findings included: On 11/28/18 at approximately 10:36 AM, a Resident Council meeting was held with the surveyor, attended by 10 interviewable residents, all with Brief Interview for Mental Status scores ranging from 10-15. During the group interview, 4 of the 10 residents expressed that multiple requests had been made in attempts to obtain their medical records from the facility. Resident #s 7, 31, 73, and 77 all expressed they had made multiple requests to the Administrator and to their direct care staff. Review of the grievance log on 11/28/18 at approximately 3:00 PM revealed there were no references to requests made. During an interview with the Administrator and Social Services Director on 11/29/2018 at 9:45 AM, the Administrator indicated s/he was unaware of any requests and if there had been, they would have been taken care of. However, upon further interview, s/he indicated there was no documentation available proving or disproving the requests were made. Review of the facility's admission packet section labeled Resident Rights states: The resident has the right to access personal and medical records pertaining to him or herself. The facility admitted Resident #43 with [DIAGNOSES REDACTED]. Record review on 11/30/18 at 7:50 AM revealed that the resident was hospitalized from 8-31-18 to 9-6-18 Urinary Tract Infection, Hydro[DIAGNOSES REDACTED], [MEDICAL CONDITION], Dehydration, and Acute Kidney Injury. S/he was also hospitalized from 9-25-18 to 9-26-18 for [MEDICAL CONDITION] Calculus, Hydro[DIAGNOSES REDACTED], and Recurrent [MEDICATION NAME]. During an interview on 11/26/18 at 4:19 PM, Resident #43 stated s/he had requested to see her medical records related to the kidney problems s/he had experienced. S/he stated s/he had requested them from Licensed Practical Nurse (LPN) #2 four times. When asked what the nurse's response was, the resident stated, She (He) says she (he) can't find them. During an interview on 11/29/18 at 4:13 PM, LPN #2 stated s/he did not remember discussing a medical records request with the resident. When asked, the nurse initially stated that if the resident requested medical records, s/he would have told her/him that her/his daughter would need to go to the physician and request them. When the surveyor noted the resident's cognitive status, the nurse stated s/he would have obtained them for the resident. Following the interview, LPN #2 and the surveyor went to the resident's room. The resident confirmed that this nurse was the one from whom s/he had requested the records. The resident stated s/he had handed the records to LPN #2 in an envelope when s/he returned from her/his urology appointment. After visiting with Resident #43, LPN #2 stated, She (He) probably has me mixed up with (LPN #3). Record review on 11/30/18 at 8:25 AM revealed a 10/18/18 Nurses Note at 2:56 PM signed by LPN #2 which stated, Resident returned from Dr.---, urology. |
2020-09-01 |