cms_GA: 8454
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8454 | THOMASVILLE HEALTH & REHAB, LLC | 115427 | 120 SKYLINE DRIVE | THOMASVILLE | GA | 31757 | 2011-11-10 | 314 | D | 0 | 1 | D93G11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a closed record review and staff interview, it was determined that the facility had failed to ensure that one (#52) of two residents, who were at risk for developing pressure sores, received weekly skin assessments from a sample of 23 residents. Findings include: Resident #52 was admitted to the nursing facility on 5/26/11 and discharged on [DATE]. Nursing staff developed a 6/1/2011 plan of care to address the problem of his/her risk of developing new pressure sores. There was an intervention for nursing staff to do weekly skin assessments. According to licensed nursing staff's documentation on 6/23/11 at 4:00 a.m., the resident had an approximately 1 (centimeter) cm. by 1 cm. open area on his/her sacrum. The area was described as healed and treatment was discontinued on 7/4/11. Nursing notes on 7/18/11 at 4:00 a.m. documented that there was a small open area with a depth less than 0.1 cm. on the resident's sacrum area, near his/her left buttock. However, the CNA, who documented the resident's skin condition on the (CNA) STNA Skin Report form on 7/19/2011, did not include the area identified the previous day. The resident was hosptalized on [DATE] and was re-admitted on [DATE] without staff noting any skin breakdown. Nursing staff did not not note any skin breakdown until 9/9/11. At that time, nursing staff described a 1.6 cm, stage 2 pressure sore on the resident's left sacrum. However, there was not any evidence that weekly skin assessments had been done July, August or through October 12, 2011. During an interview on 11/08/11 at 5:15 p.m., the treatment nurse acknowledged that she could not locate the resident's weekly skin assessments for July 2011, August 2011 and October 2011. | 2016-01-01 |