cms_GA: 10588
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10588 | CORDELE HEALTH AND REHABILITATION | 115429 | 1106 NORTH 4TH STREET | CORDELE | GA | 31015 | 2010-09-01 | 309 | D | W2R511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it was determined that the facility failed to administer medication as ordered for one resident (#6) and failed to obtain a physician's orders [REDACTED].#8), from a total sample of 16 residents. Findings include: 1. Resident #8 had a physician's orders [REDACTED]. A review of the resident's June 2010 Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED]. However, review of the clinical record revealed that there was no evidence of a physician's orders [REDACTED]. During an interview on 8/31/10 at 3:30 p.m., licensed nurse "AA" confirmed that there was not a physician's orders [REDACTED]. Licensed nurse "AA" stated on 8/31/10, after surveyor inquiry, that she had clarified the order with the physician, who wanted it to be administered routinely. 2. Resident #6 had been receiving 3.5 milligrams (mg) of [MEDICATION NAME] daily since 7/23/10. On 7/29/10, the physician ordered 100 milligrams (mg) of [MEDICATION NAME] (an antibiotic) twice daily for ten days to treat a urinary tract infection. There was an 8/2/10 physician's orders [REDACTED]. PT and INR levels were obtained on 8/5/10. The results were available on 8/6/10. The resident's PT and INR levels were reported as having been abnormally high at 25.1 ( normal range 9.5 to 11.8 seconds) and 4.29 respectively. There was a handwritten physician's orders [REDACTED]. However, a review of the August 2010 MAR indicated [REDACTED]. Another PT and INR level was obtained on 8/8/10 with the results available on 8/8/10. The PT and INR levels had increased and were reported as having been critically high at 31.4 and 5.42 respectively. At that time, [MEDICATION NAME] was ordered to be held and then the other orders for reducing the dosage of [MEDICATION NAME] and obtaining PT/INR levels were followed. | 2014-03-01 |