cms_ID: 25
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 25 | BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION | 135007 | 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 2019-03-01 | 695 | E | 0 | 1 | U2XH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure staff changed and dated residents' oxygen tubing per physician orders [REDACTED].#6, #8, and #22) reviewed for oxygen use. This failure created the potential for harm from respiratory infections due to the growth of pathogens (organisms that cause illness) in oxygen humidifiers and cannulas. Findings include: The facility's policy and procedure for oxygen administration, dated 8/2018, directed staff to change oxygen tubing and the mask or cannula weekly and as needed if they became soiled or contaminated. Staff are directed to date and initial all oxygen tubing with the date of change. 1. Resident #8 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. On 2/25/19 at 1:00 PM, Resident #8 was observed sitting in his room at bedside with his oxygen on. The oxygen tubing was connected to a prefilled bubble humidifier which was connected to an oxygen system on the wall. The bubble humidifier was dated, the oxygen tubing was not. Resident #8's (MONTH) 2019 Treatment Administration Record (TAR) directed staff to change the oxygen tubing every Sunday on nightshift. The oxygen tubing was changed on 2/3/19, 2/10/19, 2/17/19, and 2/24/19. On 2/26/19 at 4:45 PM, RN #3 stated oxygen tubing should be changed weekly and as needed. She stated the tubing was changed every Sunday. RN #3 said nurses initialed on the TAR but did not date oxygen tubing. On 2/26/19 at 5:06 PM, the DON stated staff changed oxygen tubing every Sunday. The DON stated the staff should put a piece of tape on the tubing with the date changed and their signature to identify the date it was changed. The DON stated Resident #8's oxygen tubing was not dated. On 2/27/19 at 10:32 AM, Resident #8 was sitting in his wheelchair in his room. The oxygen tubing was connected to an oxygen delivery system. The oxygen tubing did not have a date. RN #2 stated she was not able to find a date on Resident #8's oxygen tubing. 2. Resident #22 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. A physician's orders [REDACTED]. Resident #8's (MONTH) 2019 TAR directed staff to change the oxygen tubing every Sunday on nightshift. The oxygen tubing was changed on 2/3/19, 2/10/19, 2/17/19, and 2/24/19. On 2/26/19 at 3:50 PM, Resident #22 was sitting in her room with oxygen on. The DON stated she was not able to find a date on the oxygen tubing. 3. Resident #6 was admitted to the facility on [DATE], with multiple [DIAGNOSES REDACTED]. A physician's orders [REDACTED].#6 with oxygen at 4 liters a minute and to keep oxygen saturations (oxygen levels in blood) above 90%. Resident #6's care plan, dated 12/13/18, directed staff to change the oxygen tubing weekly. On 2/25/19 at 2:12 PM, Resident #6 was observed with oxygen on. The oxygen tubing was not dated. On 2/26/19 at 7:47 AM and 4:05 PM, Resident #6 was observed with oxygen on. The oxygen tubing was not dated. On 2/26/19 at 4:46 PM, RN #1 confirmed the oxygen tubing was not dated. She stated the oxygen tubing was usually changed every Sunday and the tubing should be dated at that time. | 2020-09-01 |