cms_GU: 5
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5 | GUAM MEMORIAL HOSPITAL AUTHORITY | 655000 | 499 NORTH SABANA DRIVE | BARRIGADA | GU | 96913 | 2019-01-30 | 656 | D | 0 | 1 | IS8311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to develop and implement a comprehensive person centered nursing care plan with measurable objectives to meet the resident smoking needs for 1 of 8 sampled residents (R#4). Failure to develop and implement the nursing care plans for R #4, a current smoker could place the resident and other residents at risk for potential injury associated with smoking. Findings include: During an interview on 1/28/2019 at 12:45 p.m., resident #4 admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident is alert and oriented x 3, his Minimum Data Set (MDS) Annual Assessment disclosed a Brief Interview for Mental Status (BIMS) score of 15. Resident #4 indicated that he was waiting for proper home placement because he needs ADL care. In addition Resident #4 validated that he is a current smoker since admitted at the facility. He verbalized that he maintained all of his smoking supplies at bedside which includes the cigarette and the lighter and only smoke at the designated smoking areas assigned by the facility. During an interview on 1/29/2019 at 1:30 p.m., with the administrative staff #2 she indicated that the R #4 according to the smoking policy should have had a smoking care plan identifying his safety needs and expectations. During an interview on 1/29/2019 at 1:40 p.m., with the Administrative Staff #11, she validated that a smoking care plan was not developed or implemented for resident #4 as per policy. During an a record review of the smoking policy on 1/29/2019 titled SNU Smoking Policy disclosed that resident would be allowed to smoke and use smoking materials only as specified in their care plan. | 2020-09-01 |