cms_ME: 52
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
52 | NEWTON CENTER | 205012 | 35 JULY STREET | SANFORD | ME | 4073 | 2018-12-13 | 661 | D | 0 | 1 | IWWA11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to develop a discharge summary that included a recapitulation of the resident's stay for 1 of 1 residents reviewed for a community discharge (Resident #66). Finding: On review of Resident #66's clinical record, a surveyor noted an admission date of [DATE] with a discharge back to the community on 9/17/18. The surveyor noted in the clinical record a Recapitulation of Resident Stay form in which the following sections were left blank: Nursing, Status on Discharge, Dietary and Activity Department. Social Services staff completed their component of the form. The surveyor reviewed the nursing notes and noted no summary of Resident #66's care and status while in the facility. During an interview with the Director of Nursing on 12/13/18 at approximately 11:00 a.m., the surveyor confirmed the medical record did not contain a complete recapitulation of Resident #66's stay in the facility. | 2020-09-01 |