| 57 |
BOYINGTON HEALTH AND REHABILITATION |
255092 |
1530 BROAD AVE |
GULFPORT |
MS |
39501 |
2017-05-18 |
281 |
D |
1 |
0 |
UDH111 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, staff interview, review of instructions for the Negative Pressure Wound Therapy (NPWT) and the Nurse Practice Act, the facility failed to obtain an order for [REDACTED]. Findings include: Resident #7 Review of the Pressure Settings instructions, provided by the facility for the NPWT, not dated, revealed the pressure can be adjusted in increments of 25 millimeters (mm) Hg ( mercury) from 25 to 200 mm Hg. The Default setting is 125 mm Hg. Review of the readmission orders [REDACTED]. The order did not include the negative pressure setting for the wound. In an interview, on 05/17/17 at 11:25 AM, the Medical Director confirmed all orders for NPWT should always contain the pressure to be used on the wound. Review of the Admission Record revealed the facility readmitted Resident #7 on 12/22/16, with [DIAGNOSES REDACTED]. Review of the quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/18/17, revealed he scored 9 of 15 on the Brief Interview for Mental Status (BIMS), which indicated he had moderate cognitive impairment. Unsampled Resident D Review of the Mississippi Nursing Practice Law, effective 07/01/10, revealed, Definitions, 2. Nursing practice includes, but is not limited to, administration, teaching, counseling, delegation and supervision of nursing, and execution of the medical regimen, including the administration of medications and treatments prescribed by any licensed or legally authorized physician or dentist. Review of the discontinued physician's orders [REDACTED]. Review of the cumulative Order Summary Report for Physician order [REDACTED]. Observation of Unsampled Resident D's room, on 05/10/17 at 11:30 AM, revealed isolation supplies were on the door of the Resident's room. Unsampled Resident D's roommate was Unsampled Resident H, who had no order for isolation. During an interview on 05/11/17 at 3:40 PM, the Interim Director of Nursing (DON) confirmed Unsampled Resident D had been placed in isolation due to ESBL in the urine, which was revealed in a laboratory result from 01/25/17, and the isolation was discontinued on 02/23/17. The DON was unable to determine why the isolation supplies remained on the door for facility staff to use since the isolation had been discontinued. The interim DON also stated the Infection Control Nurse should have caught that and discontinued the isolation. Review of the Admission Record revealed the facility admitted Unsampled Resident D on 02/05/15, with [DIAGNOSES REDACTED]. Review of the quarterly MDS, with an ARD of 04/16/17, revealed the Resident scored 12 of 15 on the BIMS, which indicated she had moderately impaired cognitive abilities. |
2020-09-01 |