cms_SC: 6263
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6263 | MAGNOLIA MANOR - GREENVILLE | 425090 | 411 ANSEL ST | GREENVILLE | SC | 29601 | 2014-06-19 | 318 | D | 0 | 1 | 336311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on observation, record review, and interview, the facility failed to ensure that splints were applied as ordered to prevent decrease in Range of Motion (ROM) for Residents #4 and #6, 2 of 4 residents reviewed with orders for splints. The Findings included: The facility admitted Resident #4 with [DIAGNOSES REDACTED]. Resident #4 was observed during the initial tour on 6/16/14 and at 2:45 PM and 4:30 PM and on 6/17/14 at 8:57 AM and 12:15 PM. No splints were observed on the resident's right hand. On 6/16/14 at 4:19 PM, review of the Physician order [REDACTED]. Review of the May and June, 2014 Nursing Rehab/Restorative Plan of Care revealed the Plan of Care was implemented on 3/17/14 and listed as Approach #1 was ROM technique to R(ight) hand/wrist/elbow. Approach #2 was listed as Application of splint up to 8 hrs. Review of the Plan of Care revealed no documentation for Approach #2 for the month of June, 2014. During an interview on 6/19/14 at 9:50 AM, Certified Nursing Assistant (CNA) #3 confirmed the right hand splint was not on Resident #4. The CNA stated that s/he was about to give the resident a bath and would apply the splint afterwards. The CNA stated that s/he was sure it was on yesterday but did not state whether it was on on Monday and Tuesday. The facility admitted Resident #6 with [DIAGNOSES REDACTED]. On 6/16/14 at 3:05 PM, review of the Physician order [REDACTED]. Resident #6 was observed in bed on 6/16/14 at 4:07 PM with no splints observed. On 6/17/14 at 5:15 PM, Registered Nurse (RN) #1 provided copies of the May and June, 2014 Nursing Rehab/Restorative Plan of Care. Review of the documentation revealed the Plan of Care was implemented 5/6/14 and listed Approach #1 was bilateral ROM. Approach #2 was listed as Don/Doff splints. Additional review revealed documentation of performance of approach #1 but no documentation for Approach #2. RN #1 confirmed there was no documentation of donning and doffing of the bilateral knee splints at that time. On 6/18/14 at 3:20 PM, the Director of Nursing (DON) confirmed s/he was unable to determine how often Resident #6's splints were being applied. The DON also confirmed the order for the splints was unclear for Resident #6 and so is the documentation of the Restorative Nursing for Residents #4 and #6. | 2018-04-01 |