cms_MS: 95
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
95 | THE PILLARS OF BILOXI | 255093 | 2279 ATKINSON ROAD | BILOXI | MS | 39531 | 2019-05-15 | 698 | D | 0 | 1 | 0E0S11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, record reviews, and staff interviews, the facility failed to maintain ongoing communication and collaboration with the [MEDICAL TREATMENT] facility for one (1) of one (1) residents reviewed for [MEDICAL TREATMENT] services (Resident #106) in a sample of 24 residents. Findings Include: Review of the [MEDICAL TREATMENT]-[MEDICAL TREATMENT] policy, Nursing Services-21, dated (MONTH) 23, 2010 read: Policy Statement: Residents with end stage [MEDICAL CONDITION] undergoing [MEDICAL TREATMENT] will receive care and services to attain or maintain the highest practicable physical, mental, and psychosocial well- being. The care and services will meet current standards of care .This facility will co-ordinate care with the [MEDICAL TREATMENT] provider .Medical and administrative information necessary for [MEDICAL TREATMENT] related care of the resident will be shared and communicated between the facility and the [MEDICAL TREATMENT] provider. The Clinical Practice Guideline [MEDICAL TREATMENT]-[MEDICAL TREATMENT], dated (MONTH) 24, 2010 read: Nutrition/Hydration, 5. Weight should be obtained weekly or as ordered by the physician. Pre and post [MEDICAL TREATMENT] weights will be obtained from the [MEDICAL TREATMENT] provider and sent to the facility for inclusion in the medical record. Review of Resident #106's Admission Record, dated 1/22/19, revealed the resident was initially admitted on [DATE], with [DIAGNOSES REDACTED]. Review of the Physician order [REDACTED].#106 revealed, [MEDICAL TREATMENT] M-W-F (named clinic) Biloxi, chair time 12 PM. Review of the electronic medical record for Resident #106, dated 3/18/19 through 5/20/19, revealed four (4) completed [MEDICAL TREATMENT] Transfer Forms dated 3/18/19, 5/06/19, 5/08/19, 5/13/19. Based on the physician order [REDACTED]. On 5/14/19 at 3:30 PM, an interview with Licensed Practical Nurse (LPN) #1 was conducted. LPN #1 stated the [MEDICAL TREATMENT] sheets are collected by Medical Records for placement into the resident's record. On 5/15/19 at 11:20 AM, an interview with Medical Records (MR) was conducted. The MR staff confirmed the only completed communication forms for Resident #106 are dated 3/18/19, 5/06/19, 5/08/19, and 5/13/19. The MR staff also stated the facility does not always get the communication sheets back from the resident. On 5/15/19 at 12:30 PM, an interview with the Director of Nursing (DON) was conducted. The DON stated she had no knowledge of why the documents for the [MEDICAL TREATMENT] visits were not in the medical record for Resident #106. The DON stated the [MEDICAL TREATMENT] center orders labs and reviews the results and then communicates the results to the facility. The DON also stated she was not aware of the missing communication sheets between the facility and the [MEDICAL TREATMENT] center for Resident #106 until she was asked about it. | 2020-09-01 |