cms_UT: 39
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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39 | MT OLYMPUS REHABILITATION CENTER | 465006 | 2200 EAST 3300 SOUTH | SALT LAKE CITY | UT | 84109 | 2018-04-30 | 578 | D | 0 | 1 | C87F11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined, for 1 of 43 sample residents, that the facility did not include provisions to inform and provide written information concerning the right to accept or refuse medical or surgical treatment and at the residents option formulate an advance directions. Resident identifier: 264. Findings include: 1. Resident 264 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 264's medical record was reviewed on 4/24/18. Review of resident 264's physician orders [REDACTED]. On the facility's documenting system, a header displayed a resident's code status so it could be quickly identified. On 4/24/18 at 9:31 AM it was noted that resident 264 did not have a code status listed in the header. The hard chart was searched and the POLST form within was blank. The advanced directives or POLST form could not be found when searched for in the facility's documenting system. In that documenting system, there was a form titled Advanced Directives which was signed by the resident and a facility representative on 4/5/18. This form stated that a facility representative was made aware by the resident or resident representative that advance directives exist, but a copy was not provided to the facility. It did not indicate what the resident's wishes for advanced directives were. The form stated The Resident acknowledges that it is the Resident's responsibility to provide (facility's name) with copies of the Resident's advance directives for incorporation into the Resident's medical record. The form also stated (Facility's name) shall act in accordance with the residents advance directives if the advance directives were executed in accordance with applicable State law. On 4/24/18 at 9:45 AM an interview was conducted with resident 264. Resident 264 stated she did have an advanced directive, but it was at a different facility. Resident 264 stated she didn't remember ever filling out a POLST while at the facility. On 4/25/18 at 10:46 AM when the POLST form was requested, it was provided. It had been completed on 4/24/18. The Director of Nursing affirmed the form was completed the previous day. | 2020-09-01 |