cms_NM: 81
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
81 | RIO RANCHO CENTER | 325033 | 4210 SABANA GRANDE SE | RIO RANCHO | NM | 87124 | 2018-02-12 | 578 | D | 0 | 1 | M2BO11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to update the medical chart for 1 (R #5) of 1 (R #5) residents reviewed for advanced directives, when they failed to update her code status as DNR (Do Not Resuscitate) and inform direct care staff of R #5's wishes. This deficient practice could likely result in residents not having their wishes honored if a life threatening event occurred. The findings are: [NAME] Record review of R #5's Electronic Medical Record, indicated resident is Full Code. B. On [DATE] at 3:18 pm, during interview with RN (Registered Nurse) #2, she stated that R #5 is a full code. RN #2 stated that if R #5 coded, she would start CPR (Cardiopulmonary Resuscitation). C. On [DATE] at 3:19 pm, during interview with RN #1, he stated R #5 was a full code and he would call out for somebody, get a crash cart and start CPR. D. Record review of R #5's MOST (Medical Orders for Scope of Treatment) form dated [DATE], indicated R #5 selected Do Not Attempt Resuscitation/DNR. Options were discussed with R #5 and she signed on [DATE]. E. On [DATE] at 3:36 pm, during interview the Director of Nursing (DON) stated that she was looking into the issue, because she identified a discrepancy yesterday. The DON verified that if R #5 did request to be DNR, the nurse should have immediately went to the physician and got a new order for DNR and it should have been updated in the electronic chart. | 2020-09-01 |