cms_WY: 1291
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1291 | AMIE HOLT CARE CENTER | 53A002 | 497 W LOTT | BUFFALO | WY | 82834 | 2015-12-03 | 315 | D | 0 | 1 | 044H11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, and staff and family interviews, the facility failed to obtain a urine sample in a timely manner to identify and treat a suspected urinary tract infection [MEDICAL CONDITION] for 1 of 1 sample resident (#43) treated for [REDACTED]. 1. Review of a nursing note dated 10/22/15 for resident #43 revealed the resident's daughter told the nurse the resident was acting like s/he did the last time s/he had a UTI. The nurse noted the resident had a fever the previous night and stated s/he didn't feel well. The daughter requested a UA (urinalysis). The nurse documented a UA would be done in the morning. The following concerns were identified: a. Further review of the medical record showed the urine sample was not collected until 10/27/15 (5 days later) via catheterization. b. The only nursing note between 10/22/15 and 10/27/15 was made on 10/26/15 and indicated the nurse was unable to collect a sample list because the resident was not feeling well. c. Review of the 10/27/15 UA results showed the urine was cloudy and many bacilli were present. d. Review of physician orders [REDACTED]. The physician also ordered a culture. Review of the culture dated 10/29/15 showed Alpha strep. present- no further workup. A nursing note dated 10/29/15 showed the physician received the results of the culture and wished to continue the antibiotic. e. During an interview on 12/2/15 at 10:35 AM the resident's family member stated it shouldn't take 6 days to get a sample. f. On 12/2/15 at 4:15 PM team leader #1 stated the facility had a difficult time getting a clean catch urine sample on the resident, and finally got a sample via catheterization on 10/27/15. She also stated this occurred over a weekend, and lab was not always available. g. Review of standing physician orders [REDACTED]. Mini catheterization procedure on residents who unable to do a clean catch procedure. h. During an interview on 12/3/15 at 8:34 AM the infection control coordinator stated she was upset the UA took that long for resident #43. She stated if the staff couldn't get a clean catch urine sample, they could have done a mini catheterization that day, or the following day. | 2019-07-01 |