cms_TN: 728
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
728 | GOOD SAMARITAN HEALTH AND REHAB CENTER | 445170 | 500 HICKORY HOLLOW TERRACE | ANTIOCH | TN | 37013 | 2018-04-18 | 578 | D | 0 | 1 | 24XE11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to maintain accurate advanced directives (code status) in the electronic medical record for 1 of 42 sampled residents (Resident #86) reviewed. Findings include: Medical record review revealed Resident #86 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Medical record review of the electronic medical record for Resident #86 on [DATE] at 4:10 PM and [DATE] at 9:50 AM revealed the resident's advanced directive (codes status) was Cardiopulmonary Resuscitation (CPR) indicating she preferred life saving interventions if she has no pulse and is not breathing. Medical record review of Resident #86's hard chart revealed a POST (Physician order [REDACTED]. Interview with the charge nurse, Licensed Practical Nurse (LPN) #5 on [DATE] at 9:50 AM at the nurses station after viewing Resident #86's, home page on the electronic medical record and the hard chart copy of the POST form confirmed the electronic medical record and hard copy POST form were not the same. Further interview confirmed the hard copy POST form was the correct document to follow. The LPN (#5)confirmed the facility failed to maintain accurate code status for Resident #86 in the electronic medical record. | 2020-09-01 |