cms_SC: 8278
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8278 | PRUITTHEALTH ESTILL | 425315 | 252 LIBERTY STREET SOUTH | ESTILL | SC | 29918 | 2012-07-18 | 280 | D | 0 | 1 | 4SFT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on observations, interviews and record review, the facility failed to update the care plan for 2 of 5 sampled residents receiving oxygen. Resident #4 was observed by staff changing the setting of liters on his concentrator and Resident #8 was not care planned for the use of oxygen. The findings included: The facility admitted Resident #4 with [DIAGNOSES REDACTED]. During an observation of Resident #4 on 7/16/12 at 3:55pm, the Resident's oxygen concentrator was set at 4 liters per minute via nasal cannula. During a record review on 7/16/12 at approximately 4:00pm, the Physician's Interim Orders dated 7/4/12 stated Oxygen at 2 liters per minute via nasal cannula continuously. During an observation on 7/17/12 at 10:27am, Resident #4's oxygen concentrator was set at 4 liters per minute via nasal cannula. During an interview with the Unit Manager #1 on 7/17/12 at 10:27am, she verified the oxygen order was for 2 liters per minute and the current setting on the oxygen concentrator was 4 liters per minute. The Unit Manager then stated, He messes with it. The Resident also stated that the Concentrator gets bumped. During a review of the Resident's Care Plan on 7/17/12 at 10:30am, no evidence was noted that the Care Plan addressed behaviors with readjusting of the oxygen concentrator machine. During an interview with the Unit Manager #1 on 7/17/12 at 10:30am, she confirmed that the Care Plan was not updated to reflect the Resident's behavior related to adjusting the flow on the oxygen concentrator. The facility admitted Resident #8 with [DIAGNOSES REDACTED]. During the days of the survey Resident #8 was observed wearing a oxygen tank. Review of the medical record on 7/16/12 at approximately 4:50 PM which revealed a physician's clarification order dated 6/29/12 for oxygen: O2 (oxygen) 2 l/m (liters per minute) via NC (Nasal Canula) to maintain sats (saturation levels) > (greater than) 92% Review of Resident #8's Care Plan did not identify the use of oxygen. During an interview with the Minimum Data Set Coordinator on 7/17/12 at approximately 11 AM she verified the resident's need/use of oxygen was not on the resident's care plan. | 2016-06-01 |