cms_TN: 1884
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1884 | HILLCREST HEALTHCARE CENTER | 445316 | 111 E PEMBERTON STREET | ASHLAND CITY | TN | 37015 | 2019-05-21 | 684 | D | 0 | 1 | UFDY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, medical record review, and interview the facility failed to administer treatment to restore normal bowel function for 1 of 1 (Resident #53) sampled residents reviewed for bowel function. The findings include: The facility's Bowel Policy . dated 12/30/11 documented, .beginning of the 3rd day of no B.M (bowel movement) Administer [MEDICATION NAME] 17 gram, mix with prune juice or beverage of choice, wait 4 hours, if no bowel movement repeat one time, wait 2 hours. Apply one ducalox ([MEDICATION NAME]) sup (suppository) rectally, wait 2 hours. Administer fleets enema one rectally, wait 2 hours . Medical record review revealed Resident #53 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The Care Plan dated 1/29/19 documented, .Problem .I have the potential for constipation r/t (related to) Decreased mobility, Pain med (medication) use .Interventions .receive laxatives and stool softeners as needed/ordered nurse will monitor the effectiveness of laxatives that I receive .staff will monitor my BM record daily, report to charge nurse and if no BM >(greater than) 3 days initiate BM protocol . The progress note dated 2/22/19 documented, .Resident has not had a bowel movement in 10 days . Review of the (MONTH) 2019 Treatment Administration Record revealed there was no documentation that the [MEDICATION NAME] or Fleets Enema had been given per the bowel protocol. Interview with the Director of Nursing (DON) on 5/21/19 at 12:21 PM, in the Staff Development Room, the DON confirmed there was no documentation that [MEDICATION NAME] and Fleets Enema had been given per the bowel movement protocol. | 2020-09-01 |