cms_TN: 13938
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
13938 | COLONIAL HILLS NURSING CENTER | 445181 | 2034 COCHRAN RD | MARYVILLE | TN | 37803 | 2009-02-24 | 157 | D | 1 | 0 | GL7011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, facility policy review, and interview, the facility delayed in notifying the physician and the resident's legal representative of a fall for one resident (#4) of five residents reviewed. The findings included: Resident #4 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of the nursing notes dated January 25, 2009, revealed, "Late entry - 2:30 A called to res (resident) room per staff, res observed sitting on floor, full assessment done, 0 (no) injuries noted @ this time, res states 'I'm ok just get me back to bed,' bed in lowest position, alarm functional, 0 c/o (complaint of) pain, 0 distress noted..." Medical record review of the nursing notes dated Janaury 25, 2009, revealed the physician was not notified of the fall until the resident began complaining of hip pain at 10:45 a.m. Medical record review of the nursing notes dated Janaury 25, 2009, revealed the resident's family was not notified of the fall until 1:30 p.m. Medical record review revealed the resident was sent to the emergency roiagnom on Janaury 25, 2009, at 3:00 p.m, and returned to the facility the same day at 7:15 p.m., with a diagnois of contusion to the left hip and knee. Review of the facility's policy Falls Management revealed, "...Policy...The physician and family will be notified of the incident...Procedure...2. Management of Falls...f. The responsible party and physician are promptly notified of the occurrence and status of the resident..." Interview with the Assistant Director of Nursing on February 12, 2009, at 4:30 p.m., confirmed the facility had not notified the physician and family of the fall promptly. | 2014-07-01 |