cms_TN: 13316
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
13316 | HUNTINGDON HEALTH & REHAB CENTER | 445210 | 635 HIGH STREET | HUNTINGDON | TN | 38344 | 2011-09-14 | 504 | D | 0 | 1 | 09ZW11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, it was determined the facility failed to obtain a physician's order for blood samples drawn on 1 of 20 (Resident #15) sampled residents. The findings included: Medical record review for Resident #15 documented an admission date of [DATE] with [DIAGNOSES REDACTED]. Review of the physician's orders had no order documented for the following laboratory tests obtained: a. Basic Metabolic Panel (BMP), Lipid Profile (LP) and [MEDICATION NAME] level on 4/12/11. b. Hemaglobin A1C on 5/16/11. c. [MEDICATION NAME]/Internationalized Ratio (PT/INR) on 7/22/11, 8/10/11, 8/22/11, 8/25/11 and 8/30/11. During an interview in the Assistant Director of Nursing's (ADON) office on 9/14/11 at 9:50 AM, the ADON was asked about the PT/INR's with no orders. The ADON stated, "...did too many, we didn't pull it (lab slips) out of the file... should not have been done..." The DON was asked about the BMP, LP and [MEDICATION NAME] level on 4/12/11 and the Hemaglobin A1C on 5/16/11. The ADON stated, "...I don't have orders for those..." | 2015-02-01 |