cms_WY: 71
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
71 | BONNIE BLUEJACKET MEMORIAL NURSING HOME | 535019 | 388 SOUTH US HWY 20 | BASIN | WY | 82410 | 2018-03-01 | 657 | E | 0 | 1 | 52NN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review and staff and resident interview, the facility failed to ensure the care plan was revised as needed for 3 of 12 sample residents (#1, #12, #23). The findings were: 1. During an interview on 2/27/18 at 9:08 AM resident #1 stated s/he currently had a urinary tract infection [MEDICAL CONDITION] and frequently had UTIs. Review of a physician's note dated 2/27/18 showed the resident had frequent UTIs, .nearly monthly for past 4-5 months. However, review of the care plan, last reviewed 1/10/18, showed frequent UTIs was not addressed. 2. Review of the care plan for resident #12, last reviewed 2/21/18, showed diet as ordered and .will maintain 171# or less through next review. However, review of the 2/20/18 quarterly MDS assessment showed the resident weighed 150#. In addition, review of a 2/14/18 registered dietitian (RD) note showed the resident received Ensure as a supplement. A 1/10/18 physician note documented the resident said s/he wasn't eating, but received a supplement. Observation on 2/28/18 at 12:46 PM showed the resident was drinking a supplement in the dining room. Review of physician orders [REDACTED]. The resident's care plan was not updated to reflect the resident's current weight or the supplement. 3. During an interview on 2/28/18 at 10:52 AM the RD stated resident #23 had weight loss and received Carnation Instant Breakfast once per day, a Breeze drink two times per day, and a nutritional shake two times per day. A note by the RD dated 1/17/18 showed the resident received supplements multiple times daily. Observation on 2/28/18 at 5:45 PM in the dining room showed the resident had a Breeze drink and a nutritional shake. Observation in the kitchen on 2/28/18 at 4:02 PM showed a list for specialty drinks. Resident #23 was listed for Mighty Shakes for breakfast, lunch, dinner and Breeze drink for breakfast, lunch and dinner. In addition, it was posted that the resident received Carnation Instant Breakfast for breakfast. However, review of the care plan, last reviewed 1/23/18, showed only the Breeze supplement was included. The care plan did not include the nutritional shake or the Carnation Instant Breakfast. 4. During an interview on 3/1/18 at 11:30 AM the CNO confirmed the care plans for residents #1, #12, and #23 were not updated regarding UTIs and nutritional interventions. | 2020-09-01 |