cms_ME: 54
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
54 | NEWTON CENTER | 205012 | 35 JULY STREET | SANFORD | ME | 4073 | 2018-12-13 | 698 | D | 0 | 1 | IWWA11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure that a resident requiring [MEDICAL TREATMENT] receive services consistent with the professional standards of practice for 1 of 1 resident receiving [MEDICAL TREATMENT] services (#41). Finding: On review of Resident #41, a surveyor noted the resident was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Resident #41 had a physician's orders [REDACTED]. Also included in Resident #41's clinical record was the Care of the A-V Fistula or Graft that indicated, Check the access for the presence of a bruit and/or thrill several times a day. If the bruit or thrill is not detectable, notify the [MEDICAL TREATMENT] unit and nephrologist immediately. On review of Resident #41's Treatment Administration Record, the surveyor noted documentation supporting monitoring of the A-V fistula does not reflect consistent provision of care. The (MONTH) (YEAR) Treatment Administration Record reflected 12 out of 93 shifts where provision of A-V fistula monitoring for thrill and bruit was not documented; The (MONTH) (YEAR) Treatment Administration Record reflected 18 out 90 shifts where provision of A-V fistula monitoring for thrill and bruit was not documented; and (MONTH) 1 through 11, (YEAR) Treatment Administration Record reflected 6 out 33 shifts where provision of A-V fistula monitoring for thrill and bruit was not documented. In an interview with the Registered Nurse - Nurse Coordinator on 12/13/18 at 5:54 a.m., the surveyor confirmed that documentation does not reflect Resident #41's A-V Fistula site was checked for thrill, bruit and site maintenance each shift. | 2020-09-01 |