cms_ID: 17
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
17 | ST LUKE'S ELMORE LONG TERM CARE | 135006 | 895 NORTH 6TH EAST | MOUNTAIN HOME | ID | 83647 | 2018-10-12 | 690 | D | 0 | 1 | SC7O11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, policy review, and staff interview, it was determined the facility failed to ensure the bowel protocol was followed and implemented for 1 of 2 residents (Resident #5) reviewed for bowel and bladder care. This had the potential to place residents at risk for fecal impaction and bowel blockage. Findings include: The facility's Bowel and Bladder Program policy, revised 4/9/18, directed staff to notify the physician for no bowel movement in 5 days. Resident #5 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. A bowel continence care plan, dated 8/31/17, documented Resident #5's bowel movement pattern as one time a day 2 days apart. The care plan directed staff to refer to her medications for bowel care or call her physician to get an order if Resident #5 did not have a bowel movement by day 3. A physician order, dated 8/2/18, directed staff to provide Milk of Magnesia 30 mLs nightly as needed for constipation. A Pharmacy Review, dated 9/13/18, documented Resident #5 had not had a bowel movement for 3-4 days twice in the last 2 weeks. The bowel movement records, dated 9/9/18 through 9/22/18, documented Resident #5 did not have a bowel movement between 9/10/18 and 9/14/18 (5 days) and between 9/18/18 through 9/22/18 (5 days.) The Medication Administration Record [REDACTED]. A Pharmacy Review, dated 10/9/18, documented there were up to 5 days between bowel movements. The consultant pharmacist documented Resident #5 had Milk of Magnesia ordered as needed but none was given when Resident #5 went 5 days between bowel movements. On 10/12/18 at 2:30 PM, the DON stated residents received bowel care medication after 3 days without a bowel movement and the physician was notified on day 4. She confirmed the care plan and physician orders [REDACTED].#5. | 2020-09-01 |