cms_SC: 6261
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6261 | MAGNOLIA MANOR - GREENVILLE | 425090 | 411 ANSEL ST | GREENVILLE | SC | 29601 | 2014-06-19 | 282 | D | 0 | 1 | 336311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on record review and interview, the facility failed to follow the care plan related to fall prevention interventions for Resident #6, 1 of 11 residents reviewed for implementation of the care plan. The findings included: The facility admitted Resident #6 with [DIAGNOSES REDACTED]. On 6/17/14 at 3:14 PM, review of the resident's care plan dated 2/17/14 - 6/17/14 revealed Falls was identified as a problem area. The care plan indicated the resident had a fall on 1/23/14 and on 3/11/14. Further review of the care plan indicated a new intervention was added dated 3/11/14 for Anti tippers on wheelchair. There was no intervention added following the 1/23/14 fall listed on the comprehensive care plan. Review of the Patient /Resident Incident /Accident Investigation Worksheet dated 1/23/14 revealed Follow up/steps taken to prevent reoccurrence . was listed to Check resident Q (every) hour during 11-7 shift added to profile. Review of the Patient /Resident Incident /Accident Investigation Worksheet dated 3/12/14 revealed the Follow up/steps taken to prevent reoccurrence . stated Talk with Therapy about placing resident in Geri-chair. Review of the Resident Profile revealed the hourly checks during the night shift was listed. Review of the Point of Care CNA (Certified Nursing Assistant) documentation 1/23/14 through 6/18/14 revealed there was no documentation that the resident was checked hourly during the night shift. Review of the Occupational Therapy Notes revealed a note dated 3/17/14 that stated Measured patient for appropriate size w/c (wheel chair) to be at 16 inches wide. Further review review revealed a note dated 3/19/14 that stated Patient continues to be in 18 inch w/c at 17/5 inch height with anti thrust cushion and rear anti tippers. Resident #6 was observed on 6/16/14 at 2:50 PM, and 4:07 PM and on 6/17/14 at 8:54 AM and 12:35 PM, with no anti-tippers observed on the wheel chair. During an interview on 6/17/14 at 6:20 PM, Certified Nursing Assistant (CNA) #1 confirmed there were no anti-tippers on the resident's wheel chair. During an interview on 6/18/14 at 3:20 PM, the Director of Nursing (DON) confirmed the care plan was not followed related to the anti-tippers. The DON stated that therapy had declined the recommendation for a Geri-chair but had added anti-tippers to the resident's wheel chair. The DON further stated that s/he thought that when therapy measured the resident for a more appropriate sized wheel chair that the anti- tippers were left off when the wheel chair was changed. The DON also confirmed the hourly checks during the night was on the Resident Profile but not on the comprehensive care plan. The DON further confirmed there was no place in the computer to document the hourly checks and that there was no documentation that the hourly checks during the night shift had been done. | 2018-04-01 |