cms_ID: 98
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
98 | GATEWAY TRANSITIONAL CARE CENTER | 135011 | 527 MEMORIAL DRIVE | POCATELLO | ID | 83201 | 2017-10-13 | 157 | D | 0 | 1 | 247411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and resident and staff interview, it was determined the facility failed to ensure a resident's physician was notified of significant changes in the resident's clinical condition. This was true for 1 of 17 (#2) sample residents and had the potential for more than minimal harm when the facility failed to notify Resident #2's physician of the resident's low blood sugar readings. Findings include: Resident #2 was admitted on [DATE] with [DIAGNOSES REDACTED]. Resident #2's diabetes mellitus care plan documented Monitor/document/report to MD (Medical Doctor) PRN (as needed) signs and symptoms of [DIAGNOSES REDACTED] (low blood sugar). Resident #2's 10/2/17 Order Summary Report documented Humalog (Insulin [MEDICATION NAME]): .If BG (blood glucose) is 70 or below notify MD. Resident #2's 8/1-8/31/17 Medication Administration Record [REDACTED]. Resident #2's 9/1-9/30/17 MAR indicated [REDACTED]. Resident #2's 10/1/17-10/31/17 Medication Administration Record [REDACTED]. On 10/12/17 at 1:05 pm, Resident #2 said he did not notice any symptoms when his blood glucose was low. He did not know if his physician was notified when this occurred. On 10/13/17 at 9:24 am the DON (Director of Nursing) said there was no documentation Resident #2's physician was notified, he did not recall if the physician was notified. The DON stated the nurse should follow physician's orders [REDACTED]. | 2020-09-01 |