cms_SC: 6585
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6585 | FLORENCE REHAB & NURSING CENTER | 425163 | 133 WEST CLARKE ROAD | FLORENCE | SC | 29501 | 2014-06-19 | 315 | E | 0 | 1 | T4HW11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on record reviews, interviews, and review of the facility policy titled Intake and Output, the facility failed to provide appropriate care and services for 2 of 2 residents reviewed with a Foley Catheter. Resident #55 and Resident #89 had incomplete documentation of Intake and Output. The findings included: The facility admitted Resident #55 with [DIAGNOSES REDACTED]. Record review on 06-18-14 at approximately 10 AM of the Cumulative Physician's Orders dated 05-01-14 through 05-31-14 and 04-01-14 through 04-30-14 revealed the following orders, Foley Catheter care every shift second to Sacral Decubitus and Intake and Output (I&O) every (q) shift. Further record review on 06-18-14 of the Intake and Output Monitoring Log for April 2014 revealed the following omissions: 04-06-14: 3p-11p output 04-09-14: 3p-11p intake and output 04-10-14: 3p-11p intake and output 04-11-14: 11p-7a intake and output, 3p-11p output 04-12-14: 11p-7a intake and output 04-13-14: 3p-11p intake and output 04-14-14: 11p-7a intake and output, 3p-11p intake and output 04-15-14: 3p-11p intake and output 04-17-14: 7a-3p intake and output, 3p-11p intake and output 04-18-14: 3p-11p intake and output 04-20-14: 11p-7a intake and output, 7a-3p intake and output 04-21-14: 7a-3p intake and output, 3p-11p intake and output 04-22-14: 3p-11p intake and output 04-24-14: 3p-11p intake and output 4-25-14: 3p-11p output 04-28-14: 3p-11p intake and output 04-29-14: 3p-11p intake and output Additional record review on 06-18-14 of the Intake and Output Monitoring Log for May 2014 revealed the following omissions: 05-01-14: 3p-11p output 05-02-14: 3p-11p output 05-07-14: 3p-11p output 05-09-14: 7a-3p output 05-12-14: 11p-7a output 05-13-14: 3p-11p intake and output 05-22-14: 7a-3p output 05-25-14: 7a-3p output 05-26-14: 11p-7a intake and output 05-31-14: 7a-3p intake and output During an interview on 06-18-14 with the Corporate Consultant, h/she, after record review, verified the omissions on the April 2014 and May 2014 Intake and Output Monitoring Logs and further confirmed Resident #55 had a Foley Catheter. Review on 06-18-14 of the facility policy titled Intake and Output revealed the following, The following residents may require measurement and documentation of intake and output at the end of each shift: 1.) Residents with an indwelling catheter (output required). i.e The output of residents with indwelling catheters is determined at the end of each shift. The facility admitted Resident #89 with [DIAGNOSES REDACTED]. Record review on 6/18/14 revealed a current physician's order dated 5/30/14 for intake and output. Review of the current care plan revealed an approach to monitor intake and output every shift with a start date of 3/14/14. Review of the Intake and Output Monitoring Log for March 2014, April 2014 and May 2014 revealed multiple times intake and output was not monitored/recorded as follows: March 2014 March 1, 2014-11p-7a intake; 7a-3p intake/output March 2, 2014-7a-3p intake/output March 9, 2014- 3p-11p intake/output March 10, 2014-11p-7a-intake/output March 11, 2014-11p-7a-output March 15, 2014-11p-7a-ouput; 3p-11p intake/output March 16,2014 11p-7a-intake/output March 21, 2014-3p-11p-ouput March 22, 2014-7a-3p-intake/output March 23, 2014-7a-3p-intake/output March 24, 2014 11p-7a-ouput March 25, 2014-3p-11p-intake/output March 27, 2014-3p-11p-intake/output March 31, 2014-7a-3p-intake/output and 3p-11p-intake/output April 6, 2014-7a-3p-intake/output April 10, 2014-11p-7a-output April 11, 2014-11p-7a-intake/output and 7a-3p-output April 12, 2014-11p-7a-intake/output April 26, 2014-3p-11p-intake/output April 27, 2014-11p-7a-intake/output and 3p-11p-intake-output April 28,2014-11p-7a-intake/output May 4,2014-11p-7a-intake/output May 10, 2014-3p-11p-intake/output May 11, 2014-intake/output not documented for all three shifts May 12, 2014-11p-7a-intake/output May 13,2014-11p-7a-intake/output May 16, 2014-11p-7a-intake/output May 21, 2014-11p-7a-output May 24, 2014 11p-7a-output May 25, 2014-7a-3p-intake/output On 6/19/14, the Nurse Consultant reviewed the Intake and Output Logs and confirmed the lack of documentation. During an interview with the Director of Nursing on 6/29/14 at 3:55 PM, he/she stated the expectation of the nurses was to sign Treatment Administration Records and to complete Intake and Output Logs. | 2017-12-01 |