cms_SC: 987
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
987 | PRUITTHEALTH- BAMBERG | 425104 | 439 NORTH STREET | BAMBERG | SC | 29003 | 2018-09-20 | 689 | E | 0 | 1 | F5OV11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review and interview, the facility failed to provide a fall mat as ordered to minimize injury in the event of falls for one of five sampled residents reviewed for accidents (Resident #29). The findings included: The facility admitted Resident #29 with [DIAGNOSES REDACTED]. Review of the 7-13-18 Quarterly Minimum Data Set (MDS) Assessment on 9/10/18 at 9:25 PM revealed that the resident had a BIMS (Brief Interview for Mental Status) score of 9, indicating a moderately impaired cognitive status. S/he experienced inattention, disorganized thinking, and trouble concentrating. The resident required extensive assistance for bed mobility and was totally dependent for transfers. The MDS noted a fall with minor injury had occurred since the previous assessment. Record review on 9/18/18 at 10:12 AM revealed physician's orders [REDACTED]. Review of the Medication Administration Record [REDACTED]. Review of the Care Plan on 9/18/18 at 12:47 PM revealed interventions for fall risk included a 5-25-18 entry for a Floor mat to right side (of) bed. Multiple observations on 9/18/18 revealed Resident #29 in bed without the floor mat in place as ordered and care planned (at 9:25 AM, 11:04 AM, 12:05 PM, 2:10 PM, and 2:25 PM). During an interview and observation on 09/18/18 at 2:25 PM, Licensed Practical Nurse (LPN) #3 verified that the mat was folded and leaning against the bedside table. S/he stated, That mat should be down. During an interview regarding the mat on 9/19/18 at 8:43 AM, the Director of Nurses stated that it should be in place at all times. | 2020-09-01 |