cms_GA: 7389
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7389 | ST JOSEPH'S TRANSITIONAL CARE UNIT | 115640 | 11705 MERCY BOULEVARD | SAVANNAH | GA | 31419 | 2013-01-24 | 520 | E | 0 | 1 | 05LU11 | Based on record review and staff interview, the facility failed to ensure that the Director of Nurses (DON) or a representative was in attendance at three (3) of the past four (4) Quality Assurance (QA) Committee meetings, and failed to ensure that there was physician representation at any of the QA meetings between March and August 2012. The unit census was ten (10) residents. Findings include: Review of the facility's Quality Assurance (QA) Staff Meeting sign-in sheets revealed that the DON did not attend any of the quarterly meetings on 01/18/12, 03/14/12, 08/22/12, and 11/21/12. During interview with the facility's Program Director on 01/23/13 at 12:45 p.m., she verified that the DON did not attend the QA meetings in January and March. During further interview, she stated that there was no full-time DON in August and November, and that a charge nurse had been assigned to attend in the DON's place only at the August meeting. The Program Director added that none of the monthly QA meetings held between March and August had physician representation. | 2017-05-01 |