cms_GA: 7243
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| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7243 | EARLY MEMORIAL NURSING HOME | 115271 | 11740 COLUMBIA ROAD | BLAKELY | GA | 39823 | 2012-07-26 | 312 | E | 0 | 1 | 01VM11 | Based on observations, interviews with resident and staff, and record review, it was determined that the facility failed to provide oral care needed for three residents (A, C, and #60) and required assistance with shaving for two residents (A and C) in a total sample of 28 residents. Findings include: 1. Resident C was coded by the facility on the 5/15/12 significant change Minimum Data Set (MDS) assessment as needing total assistance from staff for personal hygiene. Although the resident had a plan of care since 9/15/11 to address the need for staff assistance for all activities-of-daily living (ADLs), there were no interventions developed to address the resident's assistance needs for oral care and shaving. On 7/23/12 at 2:45 p.m., the resident was observed to have a thick mucus film that covered his/her top to bottom teeth and bubbled when he/she spoke. There was a patch of dried, crusty sputum on the corner of the mouth. The resident said that staff had not cleaned his/her mouth that day. The resident had several days growth of facial hair and a thick, untrimmed mustache. The resident stated that staff had not trimmed his/her mustache but he/she would like for it to be trimmed. On 7/25/12 at 9:25 a.m., the resident was observed to have a thick yellow substance caked along the entire length of both of his/her lips. The resident covered his/her mouth before speaking. During an interview on 7/26/12 at 11:10 a.m., certified nursing assistant (CNA) XX confirmed that the resident was completely dependent on staff for shaving and oral care. 2. Resident #60 was coded by the facility on the 7/06/12 quarterly MDS assessment as needing total assistance from staff for personal hygiene. Although the resident had a plan of care since 8/18/11 for having a self care deficit for ADLs, it did not include interventions to address assistance with oral care. On 7/24/12 at 9:35 a.m., the resident was noted to have strong halitosis (bad breath). A review of the July 2012 Aides' Record revealed no evidence that nursing staff had provided oral care or that the resident was resistive to care on 7/24/12. Further review of the July 2012 Aides' Record revealed no evidence that nursing staff had provided oral care or that the resident was resistive to care on 7/1, 7/10, 7/13, or 7/21/12. During an interview on 7/26/12 at 12:05 p.m., CNA WW said that the resident's mouth had to be cleaned for him/her. 3. Resident A was coded by the facility on the 6/25/12 quarterly Minimum Data Set (MDS) assessment as needing total assistance from staff for personal hygiene. Although the resident had a plan of care since 4/28/11 as requiring staff assistance for all ADLs, it did not address the resident's assistance needs for oral care and shaving. On 7/24/12 at 11:34 a.m., the resident was observed with several days growth of facial hair. The resident, stated at that time, that he/she would like to be shaved. On 7/24/12 at 11:34 a.m. and 7/25/12 at 11:00 a.m. and at 3:00 p.m., the resident had a thick, white substance coating his/her teeth. He/She stated on 7/24/12 at 11:34 a.m., that he/she could not remember the last time staff helped him/her to brush his/her teeth and they needed brushing. During an interview on 7/26/12 at 9:30 a.m., certified nursing assistant (CNA) ZZ confirmed that the resident needed assistance to brush his/her teeth. | 2017-06-01 |