cms_GA: 8685
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8685 | SIGNATURE HEALTHCARE OF SAVANNAH | 115120 | 815 EAST 63 STREET | SAVANNAH | GA | 31405 | 2012-03-29 | 514 | 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 ensure that all of the current plans of care were kept with the active clinical record for one (1) resident (# 164). The sample size was thirty-six (36) residents. Findings include: Review of resident # 164's clinical record revealed that they were readmitted to the facility after a hospitalized from [DATE]-03/05/12. Prior to the hospitalization and upon readmission, the resident had multiple pressure ulcers, weight loss, and a feeding tube. Review of the resident's current medical record kept at the nurse's station revealed that it only contained care plans for Impaired Breathing Pattern; Altered Cardiac Output; [MEDICAL CONDITION]; and Resuscitation status. When the overflow record was requested from the Medical Records department, it was noted to contain all of the other care plans, including pressure ulcers and nutrition. On 03/28/12 at 3:35 p.m., Licensed Practical Nurse (LPN) MDS (Minimum Data Set) Case Manager DD verified that resident # 164's care plans had been moved to the overflow chart, and since the resident was only gone seven days, all of their records should have been available on the current chart. | 2015-11-01 |