cms_SC: 9643
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9643 | AGAPE REHABILITATION OF ROCK HILL | 425159 | 159 SEDGEWOOD DR | ROCK HILL | SC | 29732 | 2011-10-25 | 280 | D | 1 | 0 | MXVT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the complaint inspection based on observations, records review and interviews, the facility failed to ensure 2 of 8 sampled residents' care plans were reviewed and revised to reflect the current care needs of each resident. Resident #1 was diagnosed with [REDACTED]. Diff) and placed on isolation precautions. The care plan was not updated to reflect the resident's status. Resident #2 was observed to be on contact precautions. The care plan was not updated to reflect the precautions. The findings included: The facility admitted Resident #1 with [DIAGNOSES REDACTED]. Observation of Resident #1 on 10/24/2011 at 10 AM, revealed a sign on the door indicating Contact Precautions. A container was noted outside the door with gowns and gloves. Review of the physician's orders [REDACTED].#1 had an order for [REDACTED].#1 was prescribed [MEDICATION NAME] three times daily for C.Diff and was started on contact precautions. Review of the Laboratory Data revealed Resident #1 had a positive [DIAGNOSES REDACTED] sample reported on 10/20/2011. Review of the Care Plan revealed it had not been updated to reflect the new [DIAGNOSES REDACTED]. The facility admitted Resident #2 with [DIAGNOSES REDACTED]. Observation of Resident #2 on 10/24/2011 at 10 AM revealed a sign on the door indicating contact precautions. A container was noted outside the door with gowns, gloves and shoe covers. Review of the the Laboratory Reports revealed a report dated 9/11/2011 regarding a culture taken from a breast wound which was positive for Acinetobacter Baumannii. Resident #2 was noted to scratch his skin constantly causing open abrasions and wounds Record review revealed Resident #2 was admitted to the hospital on [DATE] the Discharge Summary dated 10/11/2011 revealed Resident #2 was treated for [REDACTED]. "... It was noted that there was likely an underlying [MEDICAL CONDITION]/allergic component to the patient's skin condition, as he had increased eosinophils of approximately 800. The patient was treated with antibiotics and had no significant improvement. Additionally, (Consultant Dermatologist) was consulted and pictures were sent via phone. She will follow up with (Resident #2) as an outpatient and undergo a skin biopsy and immunofluorescence." Review of Resident #2's care plan dated 8/14/2011 revealed the care plan had not been updated to reflect the resident's Acinetobacter infection, the contact isolation, the resident's hospitalization or the resident's [MEDICAL CONDITION]/allergy. During an interview on 10/ 1 at 1:05 PM, the Minimum Data Set (MDS) Coordinator confirmed Resident #1 and #2's care plan had not been updated to reflect their current status. She stated that the MDS Coordinators were responsible for updating all residents' care plans. She also stated that when new orders were written the "pink copy" is given to the MDS office to then update the care plans. She stated that she did not receive Resident #2's order for isolation until 10/24/2011. | 2015-02-01 |