cms_SC: 8244
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8244 | THE METHODIST OAKS | 425131 | 151 LOVELY DRIVE | ORANGEBURG | SC | 29115 | 2012-02-29 | 322 | D | 0 | 1 | 5WM211 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification Survey, based on observation, interview and record review, the facility failed to administer the amount of tube feeding formula and water flush as ordered for 5 feedings over a 2 day period for Resident #2, 1 of 2 residents sampled for Percutaneous Gastrostomy Tube (PEG) feedings. The findings included: The facility admitted Resident #2 on 12/13/11 with [DIAGNOSES REDACTED]. On 2/28/12 at 9:52 AM, Licensed Practical Nurse (LPN) #3 was observed administering the tube feeding and water flush to Resident #2. After checking the Medication Administration Record, [REDACTED]. After washing her hands, donning gloves and verifying placement, the LPN flushed the PEG tube with 30 ml of water. She poured 60 ml of Glucerna 1.5 into the syringe and allowed to flow via gravity. She then poured an additional 60 ml into the syringe and allowed to flow, added an additional 5 ml of formula then followed with an additional 30 ml of water to flush the tube. Record review on 2/28/12 at 3:40 PM revealed a Physician's Telephone Order dated 1/31/12 that read Per Dietary Rec(ommendation) - (Change) TF (tube feeding) to bolus 1 can Glucerna 1.5 @ (at) 9A, 1P and 6P and follow with 125 cc (cubic centimeters) H2O (water) flush. Further review revealed the order had been carried over to the February 1-29 monthly physician's orders [REDACTED]. During an interview on 2/28/12 at 4:45 PM, LPN #3 confirmed that she had given a total of 125 ml of tube feeding and a total of 60 ml of water to flush. After reviewing the MAR indicated [REDACTED]. | 2016-06-01 |