| 4997 |
EDISTO POST ACUTE |
425116 |
575 STONEWALL JACKSON BOULEVARD |
ORANGEBURG |
SC |
29115 |
2015-09-15 |
155 |
D |
0 |
1 |
56XY11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interviews and review of the facility policy titled, Advance Directives, the facility failed to provide 2 of 2 residents out of a total of 35 reviewed for Advanced Directives the opportunity to make their own health care decisions. Resident #146 and #147 had been deemed able to make their own healthcare decisions, including Advance Directives, by their physician. Resident #146 and #147 had Advance Directives signed by a family member and not the resident. The findings included: The facility admitted Resident #146 with [DIAGNOSES REDACTED]. Review of Resident #146's medical record on 9/11/2015 at approximately 8:50 AM revealed a form signed by the resident's physician that stated Resident #146 is able to make own health care decisions. Further review of Resident #146's medical record on 9/11/2015 at approximately 8:50 AM revealed a form titled, Acknowledgement of Patient Information on Advance Directives, states, I have received written information on state law, and the facility's written policy, advising me of my right to make decisions concerning my medical care, including the right to accept or refuse medical or surgical treatment, and formulate advance directives (declaration and/or durable power of attorney for health care decisions). The form was signed by a family member, not the resident. Review on 9/11/15 at approximately 8:50 AM of another form titled, Resident/Family Consent for Cardiopulmonary Resuscitation, revealed the statement, I understand that Cardiopulmonary Resuscitation constitutes an extraordinary measure and SHOULD NOT be done , this form was signed by a family member. The facility admitted Resident #147 with [DIAGNOSES REDACTED]. Review of Resident #147's medical record on 9/11/2015 at approximately 9:46 AM revealed a form signed by the resident's physician that stated Resident #147 is able to make own health care decisions. Further review of Resident #147's medical record on 9/11/2015 at approximately 9:46 AM revealed a form titled, Acknowledgement of Patient Information on Advance Directives, stated, I have received written information on state law, and the facility's written policy, advising me of my right to make decisions concerning my medical care, including the right to accept or refuse medical or surgical treatment, and formulate advance directives (declaration and/or durable power of attorney for health care decisions. The form was signed by a family member, not the resident. Review on 9/11/15 at approximately 9:46 AM of another form titled, Resident/Family Consent for Cardiopulmonary Resuscitation, revealed the statement, I understand that Cardiopulmonary Resuscitation constitutes an extraordinary measure and SHOULD NOT be done , this form was signed by a family member. Review of the facility's policy titled, Advance Directives, on 9/11/2015 at approximately 11:12 AM stated, Our facility respects your right to make own medical treatment decisions. Medical treatment decisions are a matter of personal choice. At the time of admission, we will provide to resident's information concerning: An adult individual's right to make decisions concerning medical care, including the right to accept or refuse medical or surgical treatment, and the right to give advance directives and our facility's policies relating to implementation of these rights. During an interview with the Social Service Director on 9/11/2015 at approximately 11:30 AM, he/she stated, these forms are completed on admission. He/she went on to say that if the resident is deemed able to make own health care decisions that they should sign the code status themselves. |
2019-06-01 |