cms_OR: 81
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
81 | AVAMERE HEALTH SERVICES OF ROGUE VALLEY | 385024 | 625 STEVENS STREET | MEDFORD | OR | 97504 | 2019-06-20 | 580 | D | 1 | 0 | 90J611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to notify the family for 1 of 3 sampled residents (#15) who were reviewed for pressure ulcers. This placed residents at risk for unmet needs. Findings include: Resident 15 was admitted to the facility in 4/2019 with [DIAGNOSES REDACTED]. A 4/14/19 care plan revealed Resident 15 had skin impairment and was at risk for further skin breakdown. Interventions included to notify the resident and the family of any new issue and treatment orders. A 5/1/19 Skin Impairment investigation revealed Resident 15 was found to have an open area to the coccyx that reached both the left and right buttocks. Resident 15 and the physician were notified on 5/1/19. A 5/8/19 Skin and Wound Evaluation revealed Resident 15 had a facility acquired unstageable pressure ulcer to the coccyx with a start date of 5/1/19. On 5/22/19 at 1:31 PM Witness 12 (family member) stated the facility would notify her for meetings and other concerns but she was not notified of Resident 15's unstageable pressure ulcer. On 6/5/19 at 10:32 AM Staff 11 (RNCM) confirmed, if care planned, family was expected to be notified even if the resident was her/his own representative. | 2020-09-01 |