cms_AZ: 61
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 61 | HANDMAKER HOME FOR THE AGING | 35016 | 2221 NORTH ROSEMONT BOULEVARD | TUCSON | AZ | 85712 | 2017-10-19 | 500 | D | 1 | 1 | PP4811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on clinical record review, staff interviews, and facility documentation, the facility failed to ensure that a urology appointment was scheduled in a timely manner for one resident (#173). Findings include: Resident #173 was admitted (MONTH) 19, (YEAR) with [DIAGNOSES REDACTED]. An interim care plan dated (MONTH) 19, (YEAR) revealed that the resident had a urinary catheter in place. A goal included the resident would be free of complications. Review of an Appointment/Transportation form dated (MONTH) 26, (YEAR) revealed the resident went to a follow up nephrology appointment. At the bottom of this form were progress notes from the nephrologist provider. The notes included for the resident to have a urology evaluation to assess bladder function and possibly remove the urinary catheter. A physician's orders [REDACTED]. Review of the admission Minimum Data Set (MDS) assessment dated (MONTH) 26, (YEAR) revealed the resident scored a 9 on the Brief Interview for Mental Status (BIMS), indicating moderate cognitive impairment. The resident was also coded as having an indwelling urinary catheter. Review of the clinical record revealed no documentation of an attempt to schedule the urology appointment or that an appointment had been scheduled from (MONTH) 26-May 11. A nursing note dated (MONTH) 12, (YEAR) included that a family member voiced concerns about the resident's care. The note included that a nurse practitioner (NP) was present and wrote an order for [REDACTED].>A NP order dated (MONTH) 12, (YEAR) included for a urology consult related to [MEDICAL CONDITION]. Review of an Appointment/Transportation form dated (MONTH) 18, (YEAR) revealed the resident went to the urologist appointment. At the bottom of this form were progress notes from the urology provider. The notes included the resident had acute [MEDICAL CONDITION] requiring Foley catheter. The catheter was exchanged in the office today. Will need to come back in one month for a voiding trial attempt. Clinical record documentation showed that the resident was discharged from the facility on (MONTH) 18, (YEAR). During an interview conducted on (MONTH) 18, (YEAR) at 12:10 p.m. with the transportation coordinator (staff #156), staff #156 stated that the appointment may have been delayed because the resident was a new patient. Staff #156 stated she remembered the urologist wanted more information before scheduling the appointment. However, she was unable to provide any documentation of any attempts to schedule the urology consult during the time frame of (MONTH) 26-May 11. An interview was conducted with the Director of Nursing (DON/staff #64) on (MONTH) 18, (YEAR) at 12:15 p.m. She stated that there should be documentation if the appointment was delayed. She also stated they do not have a policy regarding appointments, but provided a protocol for setting up appointments. Review of the protocol for Setting up Appointments included that physician's orders [REDACTED]. The appointment form should be completed with the resident's name, date of birth, the doctor's name, address, and phone number and signed and dated by the nurse taking the order. The protocol also included to call the doctor's office to determine if the resident is an established patient or new patient and to input the appointment on the appointment calendar and print a copy for the nurses, so they are aware of the daily appointments. | 2020-09-01 |