cms_SC: 1533
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1533 | BRIAN CENTER NURSING CARE - ST ANDREWS | 425129 | 3514 SIDNEY ROAD | COLUMBIA | SC | 29210 | 2017-07-13 | 155 | D | 1 | 1 | ZIE111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview, the facility failed to ensure that resident records were updated to include current information on residents' advance directives for 1 of 17 sampled residents reviewed for code status. Resident #48 did not have current information available on the Medication Administration Record (MAR), thus jeopardizing the staff's ability to follow the resident's/family's choices regarding advance directives. The findings included: The facility admitted Resident #48 with [DIAGNOSES REDACTED]. Record review on 07/11/2017 at 2:05 PM revealed a DNR (Do Not Resuscitate) sticker in the front of the medical record (paper chart). A No Code Agreement was signed by the family and two physicians. Further review on 7-12-17 at 10 AM revealed that the 6-17 and 7-17 Medication Administration Records (MARs) noted CODE STATUS: FULL CODE. During an interview on 7/13/17 at 9:50 AM, when asked what s/he would do if a resident coded while s/he was passing medication, Licensed Practical Nurse (LPN) #11 stated s/he would check the MAR for code status and follow that guidance. LPN #11 verified the code status as documented on the MAR. When the discrepancy in the medical record was brought to her/his attention, s/he then stated s/he would check the chart at the nursing station. | 2020-09-01 |