cms_GU: 70
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 70 | GUAM MEMORIAL HOSPITAL AUTHORITY | 655000 | 499 NORTH SABANA DRIVE | BARRIGADA | GU | 96913 | 2012-01-26 | 242 | D | 0 | 1 | J2NN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation interview and record review the facility failed to 1. Allow a resident (Resident 5) to make choices regarding her bath time when staff bathed the resident at 5 AM. 2. Ensure the right to choose bathing schedule when Resident 3's wound care was scheduled for staff convenience. The above deficient practices effected the quality of life for 2 of 10 sampled residents (Residents 5 and 3). Findings: 1. Resident 5 was admitted with [DIAGNOSES REDACTED]. The resident had a gastrostomy tube ([DEVICE]) for feeding. The resident was alert and responsive with eye movement and required total care for activities of daily living (ADLs). A family member was with the resident 24 hours per day. During Family interviews on 1/24/2012 at 3:45 PM, Resident 5's family stated they had informed the facility of this on admission that Resident 5 had always preferred bathing later in the day. The facility did not give the resident a bath until the family asked them too, three days after admission, and then the staff woke the resident up at 5 AM to give her a bath. The family said that although the resident was unable to speak and was bedbound as a result of a recent stroke she still knew what was going on. During an interview on 1/26/2012 at 11:15 AM, The head nurse stated the admitting nurse did ask the resident's preference for bathing; however bedbound residents received their baths on the night shift, as the day and evening shift was too busy to bathe everyone. 2. Resident 3 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Recent hospital admission was due to urinary tract infection, dysuria and infected left leg. Urine cultures showed Escherichia (E.) Coli and leg wounds with heavy growth of pseudomonas aeruginosa (1/17/12). On 1/23/12 at 3:10 pm, during the initial tour, Resident 3's left lower leg dressing was observed soaked with bright red drainage. The licensed nurse stated that the physician has just changed the resident's leg ulcer dressing at the bedside. Review of the Patient Progress Notes record dated 1/12/12 revealed the left leg wounds were debrided. On the same day, the physician ordered wound care daily alternate wet to dry with [MEDICATION NAME]. On 1/25/12, in an interview, the morning charge nurse indicated that the leg treatments were done by the night shift nurses because the resident belonged to the list of residents scheduled for early morning showers and dressing changes can be done after the shower. On 1/26/12 at 8:15 a.m. Resident 3 was observed up in wheelchair eating breakfast in the common dining room. Upon surveyor request, a treatment observation was done after the resident finished breakfast meal and returned to room. The treatment nurse assessed the multiple sites of debrided pressure sores and found inaccuracies in the wound measurements and identification of a black eschar in the left ankle that was not reported to the physician. | 2017-01-01 |