cms_GA: 10610
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10610 | MILLER NURSING HOME | 115039 | 206 GRACE ST | COLQUITT | GA | 39837 | 2010-10-19 | 157 | D | NOYT11 | **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 immediately consult with the physician and notify the family when there was a significant change in the physical status of one (1) resident (#1) from a survey sample of four (4) residents. Findings include: Record review for Resident #1 revealed the resident's September 2010 Physician order [REDACTED]. An original Admissions Nursing Assessment documented that the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. An Alteration In Skin Integrity Report of 08/28/2010 specifically documented that the resident had a right above-the-knee amputation and a left below-the-knee amputation, but documented no problem related to the left knee. A later Alteration In Skin Integrity Report of 09/04/2010 documented that by that time, bruising and [MEDICAL CONDITION], with discoloration, were noted to the left knee. Additionally, documentation on the September 2010 General Notes indicated that the resident was medicated with [MEDICATION NAME] 5-500 milligrams for specific complaints of pain in the left leg on 09/04/2010 at 3:00 a.m., 09/07/2010 at 4:00 a.m., and 09/08/2010 at 5:30 a.m.. However, further record review revealed no evidence to indicate that the physician and the family were notified about this significant change status of the resident's left knee, as indicated by bruising, discoloration, [MEDICAL CONDITION], and continued complaints of pain, until a Nurse's Note of 09/10/2010 at 2:40 p.m. documented that the nurse was called to the room of the resident by a certified nursing assistant. This Note documented that the nurse noted ischemic skin breakdown to the resident's left knee, and documented that the physician was notified of the observed breakdown at that time. A Nurse's Note of 09/10/2010 at 2:50 p.m. documented that the family was notified. The above was acknowledged by licensed staff member "AA" during an interview conducted on 10/13/2010 at 4:45 p.m. | 2014-02-01 |