cms_TN: 5950
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 |
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5950 | NHC HEALTHCARE, OAKWOOD | 445002 | 244 OAKWOOD DR | LEWISBURG | TN | 37091 | 2015-10-07 | 157 | D | 1 | 0 | SQJ611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Complaint # TN 985 Based on policy review, medical record review and interview, the facility failed to notify the physician and responsible party of a change in condition of 1 of 3 (Resident #1) sampled residents. The findings included: Review of the facility's policy and procedure regarding change in patient status documented, .The charge nurse on duty is notified immediately of any change in a patient's condition. The charge nurse will then assess the patient's condition and notify the physician or physician extender and the patient's family/legal representative . Medical record review revealed Resident #1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The resident was do not resuscitate status and provide comfort measures. A nurse's note dated 3/18/15 documented, .11:00 AM . Pt (patient) having 35- (to) 60 secs (seconds) apnea. Pulse Ox (oximetry) 86% (percent) RA (room air). O2 (oxygen) applied at 2.5 L (liters) / NC (nasal cannula) per concentrator . B/P (Blood Pressure) 60/42, P (pulse) 85 . The facility was unable to provide documentation that the resident's responsible party or the attending physician had been notified of a change in the resident's condition. Telephone interview with the resident's responsible party (RP) (wife) on 10/7/15 at 11:30 AM, in the conference room, the resident's RP was asked if she was notified of the change in the resident's. The resident's RP stated, I called that morning before 7 o'clock and was told he had been restless the night before. I called again at 2 PM and was told he was on oxygen and his B/P was 84/52. They never called and notified me of the change in his condition. When I got here shortly after 3 o'clock I said to the nurse he's dying isn't he. The nurse said Yes, I wish they had called me so that me and my daughter could have been with him all day. His sister would have wanted to be here with him as well. Interview with the Director of Nursing (DON) on 10/7/15 at 11:56 AM, in the conference room, the DON was asked when is the physician made aware of a change in a resident's condition. The DON stated, When there's a change in the resident's condition the nurse assess the resident, if there's a huge change from baseline the physician will be notified and the family will be notified. The DON verified there was no documentation of the resident's responsible party or the attending physician being being made aware of a change in the resident's condition. | 2018-10-01 |