8653 |
NORRIS HEALTH AND REHABILITATION CENTER |
445303 |
3382 ANDERSONVILLE HIGHWAY |
ANDERSONVILLE |
TN |
37705 |
2014-02-12 |
441 |
D |
0 |
1 |
IFG311 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview, the facility failed to change soiled clothing for one resident (#13) of thirty residents reviewed, and failed to prevent cross-contamination during ice pass for two of two ice passes observed. The findings included: Observation on February 11, 2014, at 10:15 a.m., of resident #13 resting in bed, revealed a large dark spot on the resident's gown. Continued observation revealed the dark spot was located on the left side just above the waistline, and was irregular in shape, measuring approximately two inches by two inches. Continued observation revealed the spot appeared to be dried blood. Continued observation revealed the resident had a dialysis access in the left upper arm. Interview with resident #13 on February 11, 2014, at 10:15 a.m., in the resident's room, confirmed the resident had gotten blood on the gown from the dialysis treatment the day before (February 10, 2014). Continued interview confirmed the resident returned to the facility between 5:00 p.m. and 6:00 p.m. Interview with the Director of Nursing on February 12, 2014, at 12:59 p.m., in the Activities room, confirmed the soiled gown was to be changed when the resident returned to the facility on [DATE]. Observation on February 12, 2014, at 7:30 a.m., on the 100 hallway, revealed certified nurse aide (CNA) #5 retrieved a water glass from room [ROOM NUMBER], held the glass over the ice container, filled the glass with ice from the container, and returned the glass to the resident's room. Continued observation revealed CNA #5 repeated this practice for another resident in room [ROOM NUMBER] before leaving the hallway. Interview with CNA #5 on February 12, 2014, at 12:55 p.m., confirmed the resident's water glass was not to be held over the ice container while filling the glass with ice. Interview with the Director of Nursing on February 12, 2014, at 12:55 p.m., confirmed the resident's water containers were not to be held over the ice container when filling the water containers. |
2017-05-01 |