cms_SC: 6785
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6785 | PRUITTHEALTH BAMBERG | 425104 | 439 NORTH STREET | BAMBERG | SC | 29003 | 2014-09-30 | 325 | D | 1 | 0 | LP5311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to maintain parameters of nutritional status, weekly weights were not done per the plan of care on a newly admitted resident. Resident #1 (1 of 4 residents reviewed for weight loss) was identified with a significant weight loss on day 11 of his/her admission. The findings included: The facility admitted Resident #1 with a [DIAGNOSES REDACTED]. A review of the medical record on 9/30/14 at 10:32 AM, revealed that Resident #1 was alert and comprehended conversation, but was confused. S/he required total assist with activity of daily living (ADLs) due to recent fracture and the placement of a leg immobilizer. S/he was continent of bowel and bladder at home prior to fall, but had declined to wearing briefs since hospital admission. A review of the medical record revealed that Resident #1 had a poor appetite, but was able to feed his/herself with a tray set up. The admission weight for Resident #1 on 1/31/14 was 129 pounds and his/her height was 5 foot 6 inches. The usual body weight for Resident #1 was recorded as 130-140 pounds with an ideal body weight of 130 +/- 10 %. Upon admission Resident #1 was started on a regular diet. On 2/4/14 the diet was down graded to a no fried foods-mechanical soft with ground meats. On 2/7/14 the speech therapist changed her/his diet to pureed due to poor intake and swallowing; his/her poor oral intake continued. Resident #1 at this time required the assistance of staff with meals. The Certified Dietary Manager (CDM) made a notation on 2/11/14 regarding the resident's significant weight loss of 6.9% (9 pounds) from 129 pounds on 1/31/14 to 120 pounds on 2/11/14. The recommendations from the CDM were to add the resident to the red napkin program, do weekly weights, add whole milk three times a day with meals, add ice cream at supper and rice; start Standard 2.0 supplement at 120 milliliters three times a day, and request an appetite stimulant from the physician. The resident had 2 stageable pressure ulcers. The responsible party (RP) and physician were notified of the significant weight loss. A review of the care plan related to nutrition and/ or hydration documented as an approach to obtain weekly weights on admission times 4 weeks. A review of the weight record for Resident #1 on 9/30/14 at 10:35 AM, revealed that Resident #1 was weighed on admission on 1/31/14 with a weight of 129 pounds and then again on 2/11/14 with a weight of 120 pounds. The weight should have been obtained per the care plan for 2/7/14 (weekly weight due) was not available. An interview with the Director of Nursing (DON) on 9/30/14 at 3:50 PM, revealed that the care plan should read weekly weights for new admission for 4 weeks. The DON attempted to locate the 2/7/14 weight, but was unsuccessful. S/he stated, I don't see the weight. The DON did state that the resident went out to the wound center on 2/7/14 and the weight must have gotten missed. The CDM was not available for interview. A review of the Weight Monitoring Program revealed that under Procedure: *Weight Frequency 2. New Admissions. New admissions will be weighed weekly for a period of four weeks. Initial weight and height will be obtained within 24 hours of admission to the healthcare center. | 2017-09-01 |