cms_GA: 870
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
870 | RIDGEWOOD MANOR HEALTH AND REHABILITATION | 115341 | 1110 BURLEYSON DRIVE | DALTON | GA | 30720 | 2017-10-19 | 309 | D | 0 | 1 | ZVHZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to follow the Physician's order to document observation of [MEDICAL TREATMENT] port every shift for one (1) resident (R#65) of one resident who receives [MEDICAL TREATMENT] treatment of [REDACTED]. Findings include: Review of clinical record revealed R#65 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. The resident's most recent Minimum Data Set ((MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 14 out of 15. Review of the Physician's orders dated (MONTH) (YEAR) and (MONTH) (YEAR) for R#65 revealed to observe [MEDICAL TREATMENT] port to right (rt) upper chest every shift for signs or symptoms (s/s) of bleeding. Review of the Medication Administration Record (MAR) dated (MONTH) (YEAR) and (MONTH) (YEAR) revealed no documentation of observation of [MEDICAL TREATMENT] port on 10/4/17 (11-7) shift, 9/16/17, 9/22/17, 9/26/17 (11-7) shift and 9/30/17 (7-3) shift. During an interview with Registered Nurse (RN) RCC, FF on 10/19/17 at 11:00 a.m., revealed the [MEDICAL TREATMENT] port should be checked every shift and documentation of the check should be recorded on the MAR and it was not. | 2020-09-01 |