cms_GA: 6092
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6092 | AUTUMN BREEZE HEALTH AND REHAB | 115580 | 1480 SANDTOWN ROAD SW | MARIETTA | GA | 30008 | 2014-10-16 | 280 | D | 0 | 1 | SM1J11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, and staff interviews, the facility failed to update and revise the care plan for one (1) resident (#130) from a sample of twenty-eight (28) residents. Findings include: Record review for resident #130 revealed a Minimum Data Set (MDS) Admission assessment dated [DATE] which assessed the resident as requiring supervision/oversight with Activities of Daily Living (ADLS) including toileting. The resident was assessed as always continent of bowel and bladder. Further review of the MDS Quarterly assessment dated [DATE] assessed the resident as having occasional urinary incontinence during the seven day look back period. Review of the care plan revealed it was not revised to identify occasional urinary incontinence with goals and interventions. Interview with a direct care Certified Nursing Assistant (CNA) conducted on 10/16/14 at 8:05 AM revealed the resident is continent most all of the time. He is ambulatory and takes himself to the bathroom. Only on occasion has the resident had an accident and wet himself. The resident does not call to tell the staff he is wet, it is found during every two (2) hour rounding checks. Interview conducted on 10/16/14 at 9:31 AM with the MDS Registered Nurse (RN)AA revealed she does not do the care plans for the Dementia Unit but did confirm if is a change in continence, the care plan should be updated for urinary incontinent. Interview MDS RN for the Dementia Unit CC conducted on 10/16/14 at 9:47 AM revealed the information obtained for the seven day look back period for incontinence is found in the CNA's ADL flowsheet. If the resident is having occasional incontinence it would be care planned. She further confirmed there is no revised care plan related to urinary incontinence for resident #130. | 2018-04-01 |