cms_TN: 12351
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 |
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12351 | NHC HEALTHCARE, DICKSON | 445004 | 812 CHARLOTTE ST | DICKSON | TN | 37055 | 2010-11-17 | 280 | D | 0 | 1 | 9SDV11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record reviews, observations and interviews, it was determined the facility failed to revise the comprehensive care plan to address range of motion (ROM) and/or oxygen (O2) for 4 of 27 (Residents #4, 5, 19 and 22) sampled residents. The findings included: 1. Medical record review for Resident #4 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the Minimum Data Set (MDS) with an assessment reference date of 10/16/10 documented Resident #4 had impairment on both sides of the upper and lower extremities for ROM. Review of the care plan dated 11/6/10 revealed no documentation to address ROM limitations. During an interview in the care plan office on 11/16/10 at 3:50 PM, MDS Coordinator #1 confirmed there was no care plan to address ROM and stated, "I am going to add it right now." 2. Medical record review for Resident #5 documented an admission date of [DATE] and a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of the MDS with an assessment reference date of 10/4/10 documented Resident #5 had impairment on both sides of the upper and lower extremities for ROM. Review of the care plan dated 10/5/10 revealed no documentation to address ROM limitations. During an interview at the unit 2 nurses' station on 11/17/10 at 8:30 AM, MDS Coordinator #1 stated, "No, it's (ROM) not in the ADL's (activities of daily living) where it (ROM) should be..." 3. Medical record review for Resident #19 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of Resident #19's physician's orders [REDACTED].@ (at) 3L (liters) PER NC (nasal cannula) CONTINUOUS..." Review of the nurse's notes dated 11/15/10 documented Resident #19 was receiving O2 continuous at 2 liters per minute (LPM). Review of the care plan dated 9/22/10 revealed no care plan for O2 therapy. Observations in room [ROOM NUMBER] on 11/15/10 at 10:15 AM, on 11/16/10 at 4:00 PM and on 11/17/10 at 9:25 AM, revealed Resident #19 lying in bed with O2 in use. During an interview at the unit 4 nurses' station on 11/17/10 at 9:35 AM, Nurse #8 stated, "I don't see oxygen on here (care plan). It should be. Looks like there's a problem with the care plan." 4. Medical record review for Resident #22 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the physician's orders [REDACTED].@ 2L PER NC..." Review of the care plan dated 9/18/10 revealed no care plan for O2 therapy. Observations in room [ROOM NUMBER] on 11/16/10 at 4:10 PM and on 11/17/10 at 8:30 AM, revealed Resident #22 lying in bed receiving O2 at 2 LPM per NC. During an interview in the care plan office on 11/17/10 at 10:20 AM, MDS Coordinator #1 confirmed there was no care plan for O2 therapy and stated, "It looks like I need to make some updates, I will add it (O2 to care plan) now." | 2015-08-01 |