cms_GA: 69
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
69 | WILLIAM BREMAN JEWISH HOME, THE | 115022 | 3150 HOWELL MILL ROAD N.W. | ATLANTA | GA | 30327 | 2017-03-30 | 282 | D | 0 | 1 | U5BR11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interviews, the facility failed to follow the care plans related to the monitoring of blood glucose levels and the treatment of [REDACTED].#17) from a total sample of 35 residents. Findings include: Record review for resident (R) #17 revealed the resident was admitted to the facility on [DATE] with the following Diagnoses: [REDACTED]. Review of the care plan dated 1/9/17 stated R#17 has the potential for hypoglycemic and hyperglycemic episodes secondary to DM with the goal to provide relief of hypo/hyperglycemic episodes within 30 minutes of interventions. Continued review revealed to monitor blood sugar (glucose) levels per physician's orders [REDACTED]. Review of the Physician order [REDACTED].-300, give five (5) u, 301-350, give seven (7) u; greater than 351, give 10 u. Review of the Medication Record for (MONTH) (YEAR) revealed no evidence of blood glucose (bg) level documentation at bedtime for 1/6/17, 1/7/17, 1/8/17, and/or 1/24/17. Review of the The Medication Record for (MONTH) (YEAR) revealed no evidence of BG level documentation for 3/18/17. During interview with the Director of Nursing (DON) on 3/30/17 3:20 p.m., she confirmed that the care plan was not followed regarding blood sugars. 2.) During observation on 3/30/17 at 7:00 a.m. with Registered Nurse (RN) EE, she cleaned the pressure ulcer to the sacral wound with Dakins solution, then applied an oil [MEDICATION NAME] dressing to the wound bed and applied the calcium alginate to the tunneling area. Continued observation revealed that a sponge was applied to the site and a new canister applied to the wound. Review of the care plan for R#17 dated 1/9/17 revealed that resident has a pressure ulcer and the intervention included to treatment per current physician orders. Review of the (MONTH) (YEAR) Physician order [REDACTED]. Interview with the Assistant Director of Nursing (ADON) on 3/30/17 at 10:30 a.m., revealed that wound care for the resident's treatment is to apply the black sponge, which is the deriding agent and the application of the suction to the wound vac. | 2020-09-01 |