cms_GA: 8680
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8680 | SIGNATURE HEALTHCARE OF SAVANNAH | 115120 | 815 EAST 63 STREET | SAVANNAH | GA | 31405 | 2012-03-29 | 309 | D | 0 | 1 | G6KB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview the facility failed to follow the physician's order for one resident (#92) with blood sugar below sixty milligrams per deciliter (60 mg/dl) on a sample of thirty six (36) residents. Findings include: Review of the Diabetic Flow Sheet for resident #92 revealed a fingerstick blood sugar of forty-eight milligrams per deciliter (48 mg/dl) at 6:00 a.m. on 02/09/12. Review of the February 2012 physician's orders revealed an order for [REDACTED]. Further review of the Diabetic Flow Sheet indicated the resident was given one can of ensure to treat the blood sugar of 48 mg/dl instead of the [MEDICATION NAME] as ordered by the physician. review of the resident's medical record revealed [REDACTED]. In addition, there was no evidence the blood sugar was rechecked after 30 minutes. During an interview on 3/29/12 at 9:45 a.m., Registered Nurse (RN) FF stated the expectation would be that the nurse should have followed the physician orders. She stated the resident should have been given the [MEDICATION NAME] and the blood sugar should have been rechecked after 30 minutes. She confirmed she could find no documentation the blood sugar was rechecked and that physician was notified as ordered. | 2015-11-01 |