cms_ND: 100
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2019-10-21 | 695 | D | 0 | 1 | 6YYS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services for 1 of 4 residents (Resident #24) observed with continuous oxygen and/or bi-level positive airway pressure ([MEDICAL CONDITION]) use. Failure to provide humidification and utilize correct oxygen liter flow may complicate the resident's respiratory status. Findings include: Review of facility policy titled Oxygen Administration occurred on 10/17/19. This policy, dated (MONTH) (YEAR), stated, . PURPOSE: To deliver oxygen to the resident when insufficient oxygen is being carried by the blood to the tissues. PR[NAME]EDURE: . 1. Check with physician's orders [REDACTED]. 3. h. If a bubble-type humidifier is ordered/used fill it with sterile water. 8. Precaution: Constant flow of oxygen can cause drying and thickening of normal secretions resulting in laryngeal ulceration (sores on the vocal cords). 10. At regular intervals, check liter flow contents (sic) of oxygen, fluid level in humidifier . Review of Resident #24's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. The current physician's orders [REDACTED]. with 4 LPM (liter per minute) oxygen bleed (delivery of oxygen with one end of oxygen tubing attached to the oxygen concentrator and the other end of the tubing attached to the [MEDICAL CONDITION] unit), every day and night shift for Sleep apnea . O2 (oxygen) at 3L (liters) per NC (nasal cannula) every day and night shift for shortness of breath, [MEDICAL CONDITIONS] . must wear nightly [MEDICAL CONDITION] during the day if napping. The current care plan stated, . Interventions . Administer oxygen per MD (physician) orders. While not on [MEDICAL CONDITION] have oxygen concentrator at 3 LPM . [MEDICAL CONDITION] per MD orders. While on [MEDICAL CONDITION] set oxygen concentrator at 4 LPM . Observations for Resident #24 showed the following: * 10/15/19 at 9:53 a.m. - Laid in bed with nasal [MEDICAL CONDITION] on, with oxygen at 3 LPM (should be 4 LPM). The humidifier jar on the concentrator contained no water. * 10/15/19 at 10:23 a.m. - Sat at the edge of the bed with nasal [MEDICAL CONDITION] on. The humidifier jar on the concentrator remained empty. * 10/15/19 at 12:30 p.m. - Sat at the edge of the bed with nasal [MEDICAL CONDITION] on while eating. The humidifier jar on the concentrator remained empty and oxygen set at 3.5 LPM (should be 4 LPM). * 10/15/19 at 4:57 p.m. - Rested in bed with nasal [MEDICAL CONDITION] on. The humidifier jar on the concentrator remained empty. * 10/16/19 at 8:06 a.m. - Laid in bed watching television with nasal [MEDICAL CONDITION] on. The humidifier jar on the concentrator remained empty. * 10/16/19 at 9:56 a.m. - Rested in bed with nasal [MEDICAL CONDITION] on. The humidifier jar on the concentrator remained empty and oxygen now set at 4 LPM (the correct setting) During an interview on 10/16/19 at 5:25 p.m., an administrative nurse (#13) stated the facility does not have a policy on [MEDICAL CONDITION] use, and, If the machine ([MEDICAL CONDITION] unit) has a reservoir they (facility staff) would fill it, rinse, drain, and clean it per standard of practice. | 2020-09-01 |