cms_AZ: 35
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
35 | DESERT TERRACE HEALTHCARE CENTER | 35014 | 2509 NORTH 24TH STREET | PHOENIX | AZ | 85008 | 2017-12-05 | 655 | D | 1 | 1 | 6GPJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record review, staff interviews and policy review, the facility failed to ensure that a baseline care plan regarding respiratory needs was developed for one resident (#301). Findings include: Resident #301 was admitted on (MONTH) 27, (YEAR), with [DIAGNOSES REDACTED]. The admission physician orders [REDACTED]. The orders also included for [MEDICATION NAME]-[MEDICATION NAME] solution ([MEDICATION NAME][MEDICATION NAME]) 3 milliliters via nebulizer every 4 hours as necessary for shortness of breath or wheezing. According to the Medication Administration Record [REDACTED]. Review of the clinical record including the resident's baseline care plans revealed no evidence that a baseline care plan had been developed within 48 hours to address the resident's respiratory needs related to [MEDICAL CONDITION], and the need for oxygen and nebulizer treatments. An interview was conducted with a Licensed Practical Nurse (LPN/staff #63) on (MONTH) 23, (YEAR) at 12:43 p.m. She stated the admitting nurse is responsible to make sure the baseline care plans are done right away and should include the resident's major problems. An interview was conducted with the Director of Nursing (DON/staff #66) on (MONTH) 30, (YEAR) at 12:50 p.m. She stated that baseline care plans should be developed for all new admissions, within 48 hours. Staff #66 acknowledged that no baseline care plan had been developed to address the resident's respiratory needs. A facility policy regarding care planning included that resident care plans will be initiated within 48 hours of admission. | 2020-09-01 |