cms_MS: 76
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
76 | THE PILLARS OF BILOXI | 255093 | 2279 ATKINSON ROAD | BILOXI | MS | 39531 | 2017-03-10 | 280 | D | 0 | 1 | U1S311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and facility policy review, the facility failed to revise Resident #10's care plan upon return from the hospital to reflect the discontinuation of sliding scale insulin for one (1) of eight (8) insulin dependent resident care plans reviewed. Findings include: A review of the facility's policy titled, Goals and Objectives, related to the Comprehensive Care Plan, undated, revealed goals and objectives were to be revised when the resident had been readmitted to the facility from a hospital stay. A review of Resident #10's Comprehensive Care Plan revealed a revision date of 12/05/16, and included an intervention for administering sliding scale insulin initiated on 5/25/16. Resident #10 was readmitted by the facility on 3/6/17, from the hospital. A review of physician's orders [REDACTED]. An interview on 03/09/17 at 4:35 PM, with Registered Nurse (RN) #2/Minimum Data Set (MDS) Nurse, revealed the care plan should have been revised to remove the intervention for sliding scale insulin when the resident returned from the hospital without an order for [REDACTED]. An interview on 03/09/17 at 11:15 AM, with the Director of Nursing (DON) revealed she had written reconciled orders when Resident #10 returned from the hospital. She stated the care plan should have been updated upon return from the hospital to reflect the discontinuation of sliding scale insulin, but she overlooked it. A review of Resident #10's Face Sheet revealed Resident #10 was originally admitted by the facility on 06/18/10, and had current [DIAGNOSES REDACTED]. A review of the quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/17/17, revealed Resident #10 was assessed by staff for cognitive skills for daily decision making, and found to be moderately impaired, indicating decisions were poor, and cues/supervision were required. | 2020-09-01 |