| 57 |
ATHENS HEALTH AND REHABILITATION LLC |
15016 |
611 WEST MARKET STREET |
ATHENS |
AL |
35611 |
2019-08-29 |
695 |
D |
0 |
1 |
39OM11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview, record review and review of a facility policy titled, Oxygen Administration , the facility failed to ensure oxygen masks and distilled water bottles were dated. This deficient practice had the potential to effect Resident Identifier (RI) #105, RI #274 and RI #275, three of three residents observed for oxygen therapy. Findings Include: A review of the facility policy titled, Oxygen Administration, effective date 12/08/2005, revealed, . Process: . 11. Cannula's and masks should be changed weekly . 14. O2 cannula/mask should be stored in a plastic bag when not in use. 1) RI #105 was re-admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. Physician Orders included an order, dated of 7/24/19, for O2 (Oxygen) at 2 L/M (Liter per Minutes) via NC (Nasal Cannula) as needed for SOB (Shortness of Breath). A care plan, dated 8/6/19, included, . Administer oxygen therapy as ordered. On 8/27/19 at 4:02 p.m., the surveyor observed RI #105's NC tubing and distilled water bottle on the oxygen concentrator were not dated. On 8/29/19 at 7:50 a.m., a second observation was made of the NC tubing and the distilled water bottle on the oxygen concentrator not dated 2) RI #274 was admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. A Physician's Orders included Oxygen at 2 L/M via nasal cannula, dated 8/22/19. A care plan included Administer oxygen therapy as ordered , dated 8/23/19. On 8/27/19 at 0:00 a.m., the surveyor observed RI #274's NC tubing and the distilled water bottle on the oxygen concentrator were not dated. On 8/27/19 at 3:27 p.m., during a second observation the surveyor observed that the NC tubing and distilled water on the oxygen concentrator were not dated. On 8/28/19 at 9:06 a.m., during a third observation the surveyor observed that the NC tubing and the distilled water bottle on the oxygen concentrator were not dated. 3) RI #275 was admitted to the facility on [DATE]. A [DIAGNOSES REDACTED]. A Physician's Order included O2 at 2 L/M prn (give as needed), with an order date of 8/24/19. A care plan included Administer oxygen therapy as ordered, dated 8/25/19. On 8/27/19 at 9:30 a.m., the surveyor observed RI #275's NC tubing was not dated while oxygen was being administered. On 8/28/19 at 9:13 a.m., during a second observation the surveyor observed NC tubing without a date. At this time the surveyor did observe the oxygen mask was dated 8/27/19 but was not in a bag/container. On 8/29/19 at 7:47 a.m., during a third observation the surveyor observed NC tubing without a date. On 8/29/19 at 2:06 p.m., during an interview with Employee Identifier (EI) #2, ADON (Assistance Director of Nursing) the surveyor asked her how often were the nasal cannula's changed. EI #2 said as needed and once per week. The surveyor asked EI #2 when should a date be placed on the NC tubing and the distilled water bottle on the concentrator. EI #2 stated when you change the NC tubing or the distilled water bottle. The surveyor asked EI #2 if there was no date on the NC tubing or distilled water bottle how would you know that they have been changed. EI #2 stated you would not know. The surveyor asked EI #2 what was the policy on dating the NC tubing and the distilled water bottle on the concentrator. EI #2 stated to change it weekly and the bottles are changed as needed if empty. |
2020-09-01 |