cms_OR: 62
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
62 | PROVIDENCE BENEDICTINE NURSING CENTER | 385018 | 540 SOUTH MAIN STREET | MOUNT ANGEL | OR | 97362 | 2017-07-31 | 514 | D | 1 | 1 | LC2W11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure accurate documentation of pressure ulcers for 1 of 3 sampled residents (#33) reviewed for pressure ulcers. This placed residents at risk for inappropriate care. Findings include: Resident 33 admitted to the facility in (YEAR) with [DIAGNOSES REDACTED]. Skin Wound Flow sheets dated 7/13/17 and 7/18/17 indicated Resident 33 had a suspected deep tissue injury (SDTI) to the right heel. A 7/20/17 Skin Wound Flow sheet indicated Resident 33 had a stage 1 pressure ulcer to the right heel. A 7/27/17 Skin Wound Flow sheet indicated Resident 33 did not have a pressure ulcer. On 7/31/17 at 11:47 am Staff 8 (RNCM) acknowledged Resident 33 had an SDTI to the right heel and stated the 7/20/17 and 7/27/17 Skin Wound Flow sheets were inaccurate. | 2020-09-01 |