cms_GA: 10476
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10476 | PRUITTHEALTH - DECATUR | 115647 | 3200 PANTHERSVILLE ROAD | DECATUR | GA | 30034 | 2009-05-13 | 157 | D | 1 | 0 | FLRQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, facility document review, family interview, and staff interview, the facility failed to immediately consult with the physician, and notify the family, of bruising of the right eye and left arm for one (1) resident ("A") in a survey sample of five (5) residents. Findings include: Record review for Resident "A" revealed that the resident had current physician's orders [REDACTED]. A Nurse's Note of 04/28/2009 at 4:30 a.m. documented that the resident was combative and had sustained a skin tear on the top of the left arm during an altercation with a staff member, and that a treatment was applied to the area. A Nurse's Note of 04/28/2009 at 5:00 a.m. documented that the physician was notified of the incident and that the residence of the responsible party was called. In a written statement dated 04/28/2009, Certified Nursing Assistant (CNA) "CC", who was the CNA providing care to the resident at the time of the altercation referenced above, documented the injury to the resident's arm, but further documented that no bruising was noted on the residents' head or face at the time of the incident. In a written statement by CNA "AA", this CNA documented that she had been told during the 7:00 a.m. report that Resident "A" had been combative earlier in the morning, and that when she made rounds and began the provision of morning care, she noticed a nickle-size reddish-purple bruise on the right side of the resident's eye. The facility's Investigative Summary documented that during interview, CNA "AA" had indicated that she then reported her findings to Registered Nurse "DD". In a written statement by Registered Nurse "DD", this nurse documented that upon assessment on 04/28/2009, she had observed a red area on right outer eye area of Resident "A" which then darkened throughout the day. However, further record review revealed no evidence to indicate that the physician was immediately consulted, or the the family was notified, of the development and progression of the bruising to the resident's right eye. Additionally, a Nurse's Note of 04/28/2009 at 3:40 p.m. documented that discoloration was noted on the resident's right face and left arm, and noted the previous incident. However, further record review revealed no evidence to indicate that either the physician had been consulted, or that the family had been notified, of the resident's bruising at that time. During an interview with Nurse "BB" conducted on 05/11/2009 at 12:45 p.m., this nurse acknowledged that the family was not notified of the bruises that were documented in the Nurse's Notes at 3:40 p.m. Then, a Nurse's Note of 04/28/2009 at 11:30 p.m. documented that at 6:00 p.m. that evening, a family member of Resident "A" had visited and had expressed concern regarding bright purple bruising to the resident's upper extremities and bruising to the right eye. A Physician's Interim Orders sheet of 04/28/2009 documented that orders were then obtained to x-ray all bruises to both upper extremities and the right eye, and to obtain "stat" Complete Blood Count and a Complete Metabolic Panel laboratory tests. During an interview with a family member of Resident "A" conducted on 05/11/2009 at 11:00 a.m., this family member stated that she/he had been notified of a skin tear on the resident's arm, but was not notified of any bruises on the resident. It was further stated that it was only when she/he arrived at the facility on 04/28/2009 at 6:00 p.m. that she/he discovered the bruising. | 2014-07-01 |