cms_ND: 99
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 |
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99 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2019-10-21 | 692 | D | 0 | 1 | 6YYS11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and record review, the facility failed to adequately assess the nutritional needs to restore/maintain adequate nutritional status for 1 of 3 sampled residents (Resident #61) who received a tube feeding. Failure to meet residents' nutritional needs through diet (tube-feeding), supplements, or other interventions contributed to the resident's weight loss. Findings include: Review of the facility policy titled WEIGHT PROGRAM occurred on 10/17/19. This policy, dated (MONTH) (YEAR), stated, . Request reweighs on residents with weight change of 3 pounds or greater . Residents who are tube fed via an electric or battery powered pump should maintain a stable weight. If the resident losses 3 lbs (pounds) or greater OR gains 3 lbs or greater, the dietitian (RD) and nurse should complete a comprehensive assessment on the resident and the doctor needs to be notified as soon as possible . Review of Resident #61's medical record occurred on all days of survey. The current physician orders, dated 09/24/19, stated, . [MEDICATION NAME] 1.5 Cal (tube-feeding). Run over 15 hours at 78 ml (milliliters)/hour start at 1700 (5:00 p.m.) and end when total volume 1170 ml infused . A nutrition risk assessment, dated 09/24/19, identified the following . wasting noted in face, decrease fat and muscle mass noted. Current diet order NPO (nothing by mouth). Current feeding [MEDICATION NAME] HN (high calorie tube feeding) . does not meet estimated need . Risk for Malnutrition: low with tube feeding support . Nutritional Goal Summary: wt 180-190# (pounds) . The current care plan stated, Nutritional status I have abeen (sic) losing wt (weight) gradually. Refuses to be weighed swallowing problems I receive nutrition and hydration via tube feeding Increased need for healing . Review of Resident #61's weights identified the following: * 09/23/19 - 182.0 lbs * 10/01/19 - 175.6 lbs (failed to re-weigh and notify RD) * 10/07/19 - 176.8 lbs * 10/15/19 - 173.4 lbs (failed to re-weigh and notify RD) The weights identified a 4.8% weight loss in less than one month while receiving a tube-feeding. The facility failed to follow their policy regarding re-weighs, complete a comprehensive assessment, and notify the doctor as soon as possible. Failure to promptly re-evaluate Resident #61's nutritional status and adjust the tube feeding as needed resulted in continued weight loss. | 2020-09-01 |