cms_SD: 81
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
81 | ROLLING HILLS HEALTHCARE | 435035 | 2200 13TH AVE | BELLE FOURCHE | SD | 57717 | 2017-02-01 | 283 | D | 0 | 1 | X0TZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and policy review, the provider failed to ensure a summary for one of one sampled discharged resident's (15) stay was completed. Findings include: 1. Review of resident 15's medical record revealed he had been admitted on [DATE] and discharged on [DATE]. He had received therapies to recover from hematuria and a urinary tract infection. No summary of his stay was found within that record. Interview on 2/1/17 at 10:30 a.m. with the director of nursing confirmed no discharge summary had been completed on resident 15. She stated one should have been completed since the discharge was anticipated. Review of the provider's (MONTH) (YEAR) Discharge Plan and Summary policy revealed: *The interdisciplinary team would complete the discharge summary on all residents who were discharged . *That summary should have included a recapitulation of the resident's stay including: -Diagnosis. -Course of disorder/treatment or therapy. -Pertinent lab, radiology, and consult reports. -A final summary of the resident's stauts to include items in the comprehensive assessment at the time of discharge. -A post-discharge plan of care. | 2020-09-01 |