cms_MT: 2289
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2289 | VALLEY VIEW HOME | 275091 | 1225 PERRY LN | GLASGOW | MT | 59230 | 2016-06-23 | 514 | D | 1 | 0 | 01NY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, the facility failed to complete adequate documentation on the day a resident discharged from the facility; specifically, the discharge assessment, status at the time of discharge, how medications were managed for the discharge, by what means the resident left the facility or if he was accompanied at the time of discharge, for 1 (#2) of two sampled residents. Findings include: Resident #2 was admitted to the facility on [DATE]. A review of the facility discharge list showed the resident discharged the facility on 5/29/16. A review of a communication sent from the facility to the physician showed the resident was planning to discharge the facility on 6/1/16. The resident would be going to an assisted living facility out of town. The physician responded with, Make the order as above. an order for [REDACTED]. A review of the resident's nursing notes lacked evidence for any documentation on 5/28/16 or 5/29/16. The last documented nursing entry was dated 5/27/16. During an interview on 6/21/16 at 6:15 p.m., staff member B stated the nurse working that day was not available, but she recalled some details from the transfer. On 6/22/16, documentation was received that showed a late entry was completed for the day of the resident's discharge. The documentation pertained to the resident's status at the time of the discharge, and how medications were provided by the nurse on duty at the time. A review of the resident's Discharge Planning form, which was blank, had been provided on 6/21/16 by staff member B. A review of a Discharge Planning form, which was received on 6/22/16 showed the form was completed on 6/22/16, when the resident had discharged the prior month. During an interview on 6/21/16 at 3:30 p.m., staff member B stated a past employee was responsible for the completion of the discharge paperwork, but it had not been done. A review of the Discharging the Resident policy showed documentation should include a transfer summary, the telephone report to the receiving facility, the resident's condition at time of discharge, including skin assessment, and who assisted with the discharge. | 2019-06-01 |