cms_GA: 6624
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6624 | BONTERRA TRANSITIONAL CARE & REHABILITATION | 115555 | 2801 FELTON DRIVE | EAST POINT | GA | 30344 | 2013-08-28 | 315 | D | 0 | 1 | 05JI11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, review of facility policy/procedures, inservice records and staff interviews the facility failed to ensure that a urinary catheter was secure for one (1) resident (#48) from a sample of twenty-seven (27) residents. Findings Include: Record review revealed that resident #48 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Further record review revealed the resident also has Traumatic [DIAGNOSES REDACTED] from his chronic indwelling Foley. Observation of catheter care for this resident was conducted 8/26/13 at 2:40 PM and revealed there was no catheter strap in use. Review of facility policy indicated that a catheter strap was to be used to anchor the catheter to a resident leg to prevent trauma. Interview with treatment nurse AA conducted 8/26/13 at 2:45 PM revealed that the resident was born with Hypospadious and due to long term use of Foley catheter that area has reopened. AA further revealed that Urology consults have been conducted but have decided not to repair Hypospadious. The resident receives wound care daily and as necessary with Foley care. During a second interview with AA on 8/26/13 at 3:15 PM, she acknowledged that resident #48 did not have a catheter strap in use. Interview with the Director of Nursing on 8/27/13 at 9:00 AM revealed that her her expectation is that each resident with a Foley catheter will have a leg strap to secure catheter as per policy. Interview with Registered Nurse (RN) CC conducted 8/27/13 at 10:15 AM revealed all Certified Nursing Assistants (CNA) are trained on catheter care per facility's nursing standard of practice. CNAs are trained that a catheter strap is to be used to anchor the catheter to a resident's leg, to prevent trauma. | 2017-11-01 |