cms_GA: 8547
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8547 | ABBEVILLE HEALTHCARE & REHAB | 115623 | 206 MAIN STREET EAST | ABBEVILLE | GA | 31001 | 2011-11-10 | 311 | D | 0 | 1 | 1JXD11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interview and record review, it was determined that the facility failed to continue to provide services to address the maintenance or improvement of positioning for one resident (#63) in a total sample of 28 residents. Findings include: Resident # 63 had [DIAGNOSES REDACTED]. The resident had been coded on the 5/27/11 Minimum Data Set ( MDS) assessment as having limitation with range of motion on one side of his/her upper extremity. On the 9/01/11 MDS, the resident was coded to have had a decline of limited range of motion in both of his/her upper extremities. staff developed a care plan to address the resident's risk for injury due to limited mobility, being bed to chair bound and having [MEDICAL CONDITION] and a [MEDICAL CONDITION] disorder. There was an intervention for staff to monitor his/her positioning for possible injury. Staff added an intervention on 8/22/11 for the resident to be screened by occupational therapy services and evaluated as indicated. The resident was observed attending a church service on 11/9/11 at 10:30 a.m. He/she was seated in a geri-chair in the reclining position. Although staff had provided a back support and bolster for the left arm of the resident's geri-chair, his/her upper torso was leaning toward the left side. The resident was observed to still be in the activity room at 11:30 a.m. Despite the resident continuing to lean to the left side of the geri-chair, the staff, who was present in the room, failed to attempt to reposition the resident into the correct position. The resident continued to be leaning to the left side while seated in geri-chair in the day room at 3 p.m. Although there were positioning devices to the back and left arm of the geri-chair, the resident continued to inappropriately lean to the left so that there was not any support for his/her head or neck. On 11/10/11 at 8:30 a.m., the resident was observed seated in geri-chair. He/She was leaning to the left side while attempting to feed him/herself. The resident was observed to unsuccessfully attempted to pull him/herself over to the right side in the chair but, he/she was not able to reposition him/herself. The staff documentation in the resident's medical record revealed that the resident had been provided skilled occupational therapy services from 5/26/11 through 7/22/11. Then he/she was discharged with occupational therapy recommendations for restorative nursing to maintain the resident's optimum upper body range of motion strength to promote increased self performance with bed mobility and self feeding. The resident was admitted to the hospital on [DATE] and returned to the facility on [DATE]. However, there was not any evidence that after his/her hospital return that the resident had been provided any restorative nursing therapy services or was evaluated by the occupational therapist for additional skilled therapy services. During an interview on 11/10/11 at 10:45 a.m., the restorative nurse stated that, after surveyor inquiry, the resident had been started on a restorative nursing program for range of motion and positioning the previous afternoon. She stated that she was not sure why restorative nursing services had not been provided to the resident since his/her return to the facility from the hospital in July, 2011. | 2016-01-01 |