cms_TN: 13659
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
13659 | COUNTRYSIDE HEALTHCARE AND REHABILITATION | 445280 | 3051 BUFFALO ROAD | LAWRENCEBURG | TN | 38464 | 2010-11-03 | 157 | D | 0 | 1 | 08U511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, medical record review and interview, it was determined the facility failed to ensure staff notified the physician of an emergency transfer for 2 of 22 (Residents #21 and 22) sampled residents. The findings included: 1. Review of the facility's "Making an Emergency Transfer or Discharge" policy documented, "...Should it become necessary to make an emergency transfer or discharge to a hospital or other related institution, our facility will implement the following procedures: a. Notify the resident's Attending Physician..." 2. Medical record review for Resident #21 documented an admission date of [DATE] with a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of a Nurse's Note dated [DATE] documented, "...called to Rm (room) per staff, upon entry resdt. (resident) in bed... unresponsive to verbal + (and) tactile stimuli... unable to obtain V/S (vital signs)... CPR (cardiopulmonary resuscitation) initiated...( named emergency management service) leaving facility c (with) resident-destination (named hospital) CPR still in progress." There was no documentation in the medical record that the physician had been notified of Resident #21's emergency transfer. During an interview in the quiet room on [DATE] at 10:30 AM, the Director of Nursing (DON) confirmed there was no documentation the physician was notified. The DON stated, "It (physician notification) is not documented, I know it should be." 3. Medical record review for Resident #22 documented an admission date of [DATE] and a readmission date of [DATE] with [DIAGNOSES REDACTED]. Review of the Nurse's Notes dated [DATE] documented, "...transferred pt (patient) to (named hospital) ER (emergency room )..." There was no documentation in the medical record that the physician was notified of Resident #22's emergency transfer. During an interview in the quiet room on [DATE] at 5:05 PM, the DON was asked if the physician was contacted when Resident #22 was sent to the ER. The DON reviewed Resident #22's medical record and stated, "...I don't see in the record that the doctor was notified." | 2014-11-01 |