cms_NV: 27
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
27 | LEFA SERAN SNF | 295001 | 1ST AND A ST/ PO BOX 1510 | HAWTHORNE | NV | 89415 | 2019-01-10 | 711 | D | 0 | 1 | 0DP411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, clinical record review and document review, the facility failed to ensure a physician documented a progress note after a visit for 1 of 12 sampled residents (Resident #18). Findings include: Resident #18 Resident #18 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #18's nursing progress notes dated 11/30/18, documented resident was seen by a physician for coughing and shortness of breath. A physician order [REDACTED]. On 01/10/19 at 11:05 AM, the Assistant Director of Nursing (ADON) verbalized the facility did not have a physician progress notes [REDACTED].#18's assessment on 11/30/18, only the narrative note entered by the nursing staff. The facility policy titled, Physician Visits and Medical Orders, effective 11/17, documented physicians had to write, sign and date program notes at each visit. | 2020-09-01 |