cms_SC: 8264
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8264 | HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA | 425289 | 1800 EAGLE LANDING BLVD | HANAHAN | SC | 29406 | 2016-03-02 | 280 | D | 0 | 1 | 3A0811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on Record review and interview the facility failed to review and revise the Comprehensive Care Plan for Resident #71, 1 of 3 sampled residents reviewed for urinary incontinence. The Comprehensive Care Plan was not reviewed and revised after the resident was assessed as having increased Urinary incontinence. The findings included: The facility admitted resident #71 with [DIAGNOSES REDACTED]. Record review of the Minimum Data Set (MDS) - Version 3.0 on 3/1/2016 at approximately 12:38 PM revealed an Admission MDS dated [DATE] that indicated the resident was not having any urinary incontinence. The MDS also indicated that a trial of a toileting program had not been attempted. Review of the Quarterly MDS, dated [DATE], on 3/1/2016 at approximately 12:38 PM indicated that the resident was always incontinent of the Bladder with no episodes of continent voiding. In addition, the 2/8/2016 MDS indicated that a trial of a toileting program had not been attempted. Both MDS assessments revealed that the resident had a BIMS (Brief Interview for Mental Status) score of 14, indicating the resident was cognitively intact. Record review of the Patient Admission/Readmission Screen dated 10/30/2015 on 3/1/2016 at 3:39 PM revealed that the resident did not have Bladder incontinence. Record review of the Patient Admission/Readmission Screen dated 1/6/2016 on 3/1/2016 at approximately 3:39 PM revealed that the resident did have Bladder incontinence. Review of the Comprehensive Care Plan on 3/1/2016 at approximately 1:04 PM revealed that the Comprehensive Care Plan had not been reviewed or revised to indicate the resident had a decline in Bladder function and was having Urinary incontinence. The Comprehensive Care Plan revealed a focus area that the resident was At risk for Urinary incontinence r/t (related to) decreased mobility. The focus area was initiated on 11/11/2015 and last revised on 11/23/2015. During an interview with Registered Nurse (RN) #4 on 3/1/2016 at approximately 1:04 PM, RN #4 confirmed that the resident was assessed as always continent of the Bladder on the Admission MDS and always incontinent of the Bladder on the Quarterly MDS. RN #4 also stated that the resident was having frequent episodes of high blood sugars and declining health status which were likely causing the increased Urinary incontinence. RN #4 stated the staff were toileting the resident more frequently. The Comprehensive Care Plan was reviewed with RN #4 and RN #4 confirmed the Comprehensive Care Plan had not been reviewed and revised related to the resident's decline in Bladder function. RN #4 confirmed that the Comprehensive Care Plan had not been revised to include more frequent toileting. In addition, RN #4 stated the Comprehensive Care Plan should have been revised related to the resident's decline in bladder function. | 2016-06-01 |