cms_GA: 8299
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 |
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8299 | A.G. RHODES HOME, INC, THE | 115275 | 350 BOULVARD, S.E. | ATLANTA | GA | 30312 | 2011-11-10 | 309 | D | 0 | 1 | MNRU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of Physician's orders, the Medication Administration Records (MAR) and staff interviews, the facility failed to ensure that physician's orders were followed for one (1) resident (#154) from a sample of twenty seven (27) residents. Findings include: Review of a physician's order dated 6/16/11 for resident #154 indicated [MEDICATION NAME] HCL 25mg (3) every six (6) hours at 0500, 1100, 1700, and 2300. Hold medication for systolic blood pressure (SBP) less than 120 (SBP Review of the MARs for September, October, and November 2011 indicated that the [MEDICATION NAME] 75mg was administered fifteen (15) times when the SBP was below 120, and there were three (3) times when there was no evidence that blood pressure (B/P) or medication were done/given. September 2011 MAR: On 9/2/11 at 11:00am, B/P was 110/68 and [MEDICATION NAME] was given On 9/5/11 at 5:00am, B/P was 115/69, and medication was given On 9/5/11 at 5:00pm, B/P was 118/68, and medication was given On 9/6/11 at 11:00am, B/P was 110/60, and medication was given On 9/19/11 at 5:00pm, B/P was 102/62, and medication was given On 9/19/11 at 11:00pm, B/P was 102/62, and medication was given On 9/27/11 at 11:00am, there was no evidence on the MAR indicated [REDACTED]. October 2011 MAR: On 10/4/11 at 11:00am there was no evidence that the B/P was taken or that medication was administered. On 10/14/11 at 5:00am, B/P was 107/67, and medication was given On 10/22/11 at 5:00am, B/P was 112/67, and medication was given On 10/24/11 at 5:00am, B/P was 117/66, and medication was given On 10/24/11 at 5:00pm, B/P was 116/73, and medication was given On 10/27/11 at 5:00pm, B/P was 118/60, and medication was given On 10/28/11 at 11:00am B/P was 119/60, and medication was given November 2011 MAR: On 11/1/11 at 5:00am, B/P was 105/59, and medication was given On 11/3/11 at 11:00am there was no evidence that the B/P was taken or that medication was administered. On 11/4/11 at 11:00am, B/P was 103/57, and medication was given On 11/5/11 at 5:00am, B/P was 119/59, and medication was given Interview with Licensed Practical Nurse (LPN) AA revealed that she failed to document in the MAR indicated [REDACTED]. She further indicated that on 11/4/11 at 11:00am she documented the wrong BP and failed to correct. Interview with the Director of Nursing (DON) on 11/9/11 at 10:45am revealed all nurses had been trained on the Point Click Care system and the expectations were that nurses should read and follow physician directions related to administration guidelines for medications. | 2016-03-01 |