| 9896 |
ASBURY PLACE AT MARYVILLE |
445017 |
2648 SEVIERVILLE RD |
MARYVILLE |
TN |
37804 |
2013-09-20 |
155 |
D |
1 |
0 |
Y2MX11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility's Resident's Rights, medical record review, review of a facility investigation, and interview, the facility failed to permit a resident to refuse treatment for one resident (#1) of eight sampled residents. The findings included: Review of the facility's Resident's Rights provided by the Director of Nursing (DON) on September 13, 2013, revealed, .Each resident has at least the following rights .To refuse treatment. The resident must be informed of the consequences of that decision. The refusal and its reason must be reported to the physician and documented in the resident's file . Medical record review revealed Resident #1 was readmitted to the facility on [DATE], and [DIAGNOSES REDACTED]. Medical record review of a Minimum Data Set, dated dated dated [DATE], revealed the resident's cognition was intact and the resident required total assistance with bed mobility, transfers, dressing, and hygiene. Medical record review of a physician's orders [REDACTED].DC PO (discontinue oral) [MEDICATION NAME] - refuses to take. [MEDICATION NAME] 9.75 mg IM (milligrams intramuscular) for acute [MEDICAL CONDITION] repeat in 2 hrs prn (hours as needed) .Maximum 30 mg daily . Medical record review of a nurse's note dated February 14, 2013, at 4:00 p.m., revealed, .c/o (complained of) chest pain. Called (Medical Doctor - M.D. #1) and adv (advised) of complaints. (M.D. #1) .stated to give PRN dose of [MEDICATION NAME] IM. Adv (advised) had been refusing meds (medications) daily .' IM injection given in L (left) thigh. Medical record review of the next nurse's note dated February 14, 2013, at 6:30 p.m., revealed no documentation regarding refusal of the medication, informing the patient of the consequences of the decision to refuse, and/or notification of the physician of the patient's refusal prior to the injection. Continued review revealed, Follow-up from injection. Calm . Review of a witness statement (Director of Nursing's) in the facility's investigation dated February 15, 2013, revealed, I spoke with (resident) per telephone about .(7:00 p.m.) .informed me (resident) was upset about something that happened yesterday .(M.D. #1) .had the nurse give .injection of [MEDICATION NAME] last night and that (resident) did not want the medication .was given to (resident) by the nurse (Licensed Practical Nurse - LPN #1) and (Registered Nurse - RN#1) made the nurse give it . Telephone interview with LPN #1 on September 17, 2013, at 10:00 a.m., revealed LPN #1 administered the injection on February 14, 2013, and LPN #1 stated, .I called (M.D. #1) .(M.D. #1) said to give injection of [MEDICATION NAME] .(RN #1) and I went in there. (Resident) refused. (RN #1) told me to put it in the top of (resident's) leg .I let .somebody talk me into doing something I knew was wrong. Interview with the DON on September 17, 2013, at 3:00 p.m., in the facility's family room, revealed she learned of the patient's refusal of the injection from the patient on February 15, 2013. She stated, .violated patient's rights. C/O: # |
2016-09-01 |