cms_TN: 14272
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14272 | KINDRED NURSING AND REHABILITATION -LOUDON | 445253 | 1520 GROVE ST BOX 190 | LOUDON | TN | 37774 | 2010-01-27 | 281 | D | S2CF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, and interview, the facility failed to discontinue a medication as ordered by the physician for one (#6), and failed to ensure a fluid restriction was followed for one (#24) of twenty-nine residents reviewed. The Findings included: Resident #6 was admitted the facility on August 3, 2009, with [DIAGNOSES REDACTED]. Medical record review of the Minimum Data Set (MDS) dated [DATE], revealed the resident had short and long term memory problems and moderately impaired cognitive skills. Medical record review of a physician's orders [REDACTED]. Observation on January 26, 2010, at 2:20 p.m., revealed the resident lying on the bed, receiving oxygen at two liters per minute via a nasal cannula. Interview with the resident, at the time of the observation, revealed the resident was not experiencing any pain. Interview on January 25, 2010, at 1:10 p.m., with the Director of Nursing, in the conference room, confirmed the [MEDICATION NAME] was not discontinued as ordered by the physician. Resident #24 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of a physician's orders [REDACTED]...1000 ML (milliliter) Fluid Restriction: Dietary to send 120 ML w/Ea (with each) meal...100 ML to be given at HS (bedtime) w/snack...Nursing to use 540 ML: 90 ML w/ea med pass (medication administration)." Medical record review of the Intake and Output Records dated September 1, 2009, through January 27, 2010, revealed "...12/9/09 24 HR. (hour) Total PO (by mouth) intake 1160...12/11/09 Total PO intake 1220...12/15/09 Total PO intake 1280...12/22/09 Total PO intake 1210...1/4/10 Total PO intake 1130...1/7/10 PO intake 220 plus 600 plus 240 Total 860 (Corrected total amount 1060)...1/19/10 Total PO intake 450 plus 870 Total 1020 (Corrected total amount 1320)...1/20/10 Total PO intake 1280...1/21/10 Total PO intake 1310...1/25/10 Total PO intake 1240..." Interview on January 27, 2010, at 12:45 p.m., with LPN #6 (Licensed Practical Nurse), at the nursing station, confirmed the facility failed to assure and monitor the resident only received 1000 milliliters of fluids by mouth a day. | 2014-02-01 |