cms_ME: 41
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
41 | BARRON CENTER | 205011 | 1145 BRIGHTON AVE | PORTLAND | ME | 4102 | 2018-12-07 | 661 | D | 0 | 1 | OYJ711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and clinical record review, the facility failed to develop a discharge summary which included a recapitulation of the resident's stay, a final summary of the resident's status, and reconciliation of all the resident's pre- and post-discharge medications for 1 of 1 resident reviewed for discharge to the community (Resident #169). Finding: On review of Resident #169's clinical record, a surveyor noted an admission date of [DATE] for respite care. The resident received hospice services prior to and throughout his/her admission. Resident #169 discharge back to the community with continued hospice services on 9/6/18. The surveyor could find no evidence in Resident #169's clinical record of a recapitulation of the Resident's stay, a final summary of his/her status or a summary of the Resident's pre- and post-discharge medications in the hard or electronic clinical record. During an Interview with the Director of Nursing Services, the Nursing Special Projects Registered Nurse and the Assistant Director of Nursing on 12/6/18 at 3:30 p.m., they stated a recap of the Resident's stay was not completed as the Resident remained on hospice services throughout his/her admission and returned to the community with the same hospice agency providing care in the community. At this time, the surveyor confirmed the medical record did not contain a recapitulation of Resident #169's stay in the facility. | 2020-09-01 |