| 4503 |
PRUITTHEALTH - MARIETTA |
115276 |
70 SAINE DRIVE SW |
MARIETTA |
GA |
30008 |
2015-09-30 |
313 |
D |
0 |
1 |
IBUU11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, resident and staff interviews, the facility failed to ensure needed ophthalmology services for one (1) resident ('A') from a sample of twenty-eight (28) residents. Findings include: Resident was assessed on his most recent Quarterly assessment dated [DATE] to have moderate vision impairment, with no corrective lenses. The Care plan indicated impaired vision, but did not utilize glasses or corrective lenses. The resident was admitted to facility on 9/19/14. Resident was observed attempting to read on 9/29/15 at 11:28 am. Resident revealed he used to wear glasses, but just quit wearing them, had no idea where they might be .Resident was requested to read a sentence from his book, but was unable to, just mumbled various words. Residents Bim score was 5. Interview with residents Certified Nursing Assistant (CNA) AA on 9/29/15 at 11:28 am revealed resident was always reading his books, told CNA he loved to read. She was not aware if he could actually read or not. Interview with the Unit Manager BB on 9/29/15 at 11:51 am revealed that if a resident was assessed for poor vision, and no corrective lenses, that resident should be placed on the list for the next ophthalmology visit. He visits approximately every three (3) months, last visit was (MONTH) (YEAR). Did not know how resident 'A' was missed for an eye exam. He arrived to the unit with out glasses. Interview with the Minimal Data Set (MDS) coordinator CC on 9/29/15 at 11:59 am revealed that the assessment and care plan are completed for impaired vision, but MDS does not make recommendations for eye evaluations. A complete assessment was done by nursing, who would then notify Social Services, who was responsible for keeping the list of residents needing an eye appointment. Interview with Social Services DD on 9/29/15 at 1:50pm revealed that she would receive a Communication Form from nursing requesting an Ophthalmology consult. Then that resident would be placed on list to be seen at next visit. Unit Managers usually ensured those needs were met. DD had never received a communication from nursing until today concerning this resident, he will be seen 10/5/15. Resident # 123 admitted [DATE], Bims = 5, [AGE] year Quarterly assessment dated [DATE] indicated Dx of HTN, DM, [MEDICAL CONDITIONS], [MEDICAL CONDITIONS]/[MEDICAL CONDITION], and depression. Resident had moderate impairment with vision, no corrective lenses Care plan indicated goals /interventions for impaired vision, unable to see large or regular print, but can identify objects and headline print. Does not utilize glasses or corrective lenses. 09/29/2015 11:28:57 AM attempted to interview res, speech very stilted, but he did say he used to wear glasses, but just quit, did not know where they were. He had books on bedside table and stated he could read them, but when asked to read, just mumbled various words, unable to read. Review of RP for resident revealed he is in Adult Protective Services. 09/29/2015 11:46:16 AM Res has been reading his books, and told CNA he loves to read. She was not aware if he could actually read or not. 09/29/2015 11:51:42 AM Interview w/Barbara Brown LPN Unit Manager revealed that if resident was assessed for poor vision, w/no corrective lenses present, should be placed on the list for the next visit by the eye doctor. MD visits unit approximately every three months. Last visit was (MONTH) (YEAR). Does not know how resident was missed for an eye exam. Resident did not arrive to facility w/eye glass. 09/29/2015 11:59:20 AM Interview w/(NAME)Sonora LPN MDS Coordinator revealed that a care plan is completed for impaired vision, but MDS does not recommend vision app' t for evaluation. A complete assessment is done by nursing by nursing who would then notify Social Services, who was responsible for keeping the list of residents needing to be seen. 09/29/2015 1:43:38 PM Interview w/Barbara Brown LPN revealed Social Services is ultimately responsible for assuring eye exams are completed as needed. Basically res had not complained and was overlooked. However, he will be seen [DATE]. 09/29/2015 1:50:38 PM Interview w/ Social Services Lynne(NAME)revealed that she would receive a Communication Form from nursing requesting an Ophthalmology consult. Then that resident would be placed on list to be seen at next visit. Unit managers usually stay on top of needs. Had never received communication from nursing concerning this resident. |
2019-09-01 |