cms_SC: 4148
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4148 | EASLEY PLACE-A CONTINUUM OF CARE COMMUNITY | 425409 | 706 PELZER HIGHWAY | EASLEY | SC | 29642 | 2020-01-24 | 655 | D | 0 | 1 | VVDY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview and review of the facility's policy, the facility failed to ensure that all patients had a completed baseline care plan with goals and preferences to include [MEDICAL TREATMENT] as a pertinent [DIAGNOSES REDACTED]. Resident # 146 had no physician order for [REDACTED].>The findings included: The facility admitted Resident #146 on 01/17/2020 with [DIAGNOSES REDACTED]. Record Review on 01/22/2020 at approximately 01:45 P.M. revealed Resident #146 was receiving [MEDICAL TREATMENT] at an outside center. Further review revealed no documentation that a Base Line Care Plan had been developed since her admission. Continued review revealed no evidence of [MEDICAL TREATMENT] as a current diagnosis. The medical record did not include Physician orders for [MEDICAL TREATMENT]. Interview with the Director of Nursing (DON) on 01/22/2020 at 01:45 PM, revealed that no orders had been written for [MEDICAL TREATMENT] and the Baseline Care Plan did not address [MEDICAL TREATMENT]. This statement was verified by the Licensed Practical Nurse (LPN) #1. Review of facility policy titled CARE PLANS-BASELINE on 01/23/2020 at 10:00 [NAME]M., revealed A baseline plan of care to meet the resident's immediate needs shall be be developed for each resident within forty-eight (48) hours of admission. | 2020-09-01 |