cms_GA: 1923
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1923 | TAYLOR COUNTY HEALTH AND REHABILITATION | 115507 | 165 SOUTH BROAD STREET | BUTLER | GA | 31006 | 2017-08-10 | 279 | D | 0 | 1 | MJ0J11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and record review, the facility failed to develop a care plan to address the oral status of one resident (#22) from a total sample of 27 residents. Findings include: A review of the clinical record revealed that Resident (R) #22 received 400 milligrams (mg) of [MEDICATION NAME] on 4/18/17 and 4/23/17 for complaints of tooth pain. A further review of the clinical record revealed that the resident had a visit with a dentist on 5/2/17 and an oral surgeon on 5/22/17. The resident was scheduled for surgery to extract tooth #32 on 8/14/17. On 5/23/17 the physician prescribed 875 mg of [MEDICATION NAME] to be administered for seven days. In addition, the physician prescribed Oragel to be applied to the tooth as need for tooth pain and 5mg/325mg of [MEDICATION NAME]/[MEDICATION NAME] every four hours as needed for tooth pain. A review of the (MONTH) (YEAR) through (MONTH) (YEAR) Administration Records (MAR's) revealed that the resident received the prescibed medication as needed for pain, and it was effective. However, there was no evidence that a care plan problem had been developed to address R#22's oral status and tooth problem. During an interview on 8/10/17 at 12:15 p.m., the Director of Nursing (DON) confirmed that a care plan had not been developed to address the resident's ongoing tooth problem. | 2020-09-01 |