cms_RI: 76
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
76 | OAK HILL HEALTH & REHABILITATION CENTER | 415027 | 544 PLEASANT STREET | PAWTUCKET | RI | 2860 | 2018-10-11 | 686 | D | 1 | 0 | SL3R11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote healing for 1 of 1 residents who have actual pressure ulcers (Resident ID# 13). Findings are as follows: Record review for Resident ID #13 revealed that s/he was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Additionally, the resident has a 10/2/2017 care plan for alteration in skin integrity-resident has a resolving stage 4 (pressure ulcer) on coccyx. Interventions include: treatment as ordered and wound consult. Further review revealed a 9/13/2018 physician's orders [REDACTED]. Review of a 10/10/2018 Continuity of Care form from an outside wound clinic revealed a recommendation to continue with the same treatment as ordered above. Surveyor observation on 10/11/2018 at approximately 12:00 PM revealed the resident's wound treatment, completed by Nurse Manager, Staff D. The nurse soaked the wound with Vashe, used [MEDICATION NAME] packing strips (gauze strips are impregnated with [MEDICATION NAME], an antiseptic agent) and covered the wound with a bordered foam dressing. During an interview on 10/11/2018 at 2:23 PM, Staff D acknowledged she used [MEDICATION NAME] packing instead of the physician ordered Iodosorb gel for the wound treatment. You are hereby formally notified that where the above listed deficiencies also constitute non-compliance with applicable provisions of the Rules and Regulations for Licensing of Nursing Facilities, they are deficiencies under State Regulations and grounds for licensure sanctions. | 2020-09-01 |