cms_NM: 94
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
94 | RIO RANCHO CENTER | 325033 | 4210 SABANA GRANDE SE | RIO RANCHO | NM | 87124 | 2017-02-14 | 514 | D | 0 | 1 | R9L211 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This is a repeat deficiency from the survey conducted on 01/08/16. Based on record review and interview, the facility failed to ensure that clinical records were complete and accurate for 2 (R #s 110 and 145) of 2 (R #s 110 and 145) residents reviewed for accurate and complete records by failing to ensure that residents' Medication Administration Record [REDACTED]. This deficient practice is likely to result in staff not knowing whether the physician was notified and is aware of the resident's condition. The findings are: Findings for R #110: [NAME] Record review of R #110's physician order [REDACTED]. Notify physician for absence of bruit/thrill every shift. B. Record review of R #110's MAR indicated [REDACTED].where documentation was not complete for checking the thrill/bruit of the residents fistula. C. On 02/10/2017 at 11:59 am, during an interview with the Director of Nursing (DON), she stated it should be documented on all orders on the MAR. She confirmed that nursing staff are not signing off on checking the thrill on the fistula. Findings for R #145 D. Record review of R #145's physician's orders [REDACTED]. The order indicated that if the resident's blood glucose level is over 401 gm/dl (grams/deciliter) to give 10 units and to notify the physician on call. E. Record review of R #145's MAR indicated [REDACTED]. F. On 02/10/17 at 11:45 am, during an interview with the DON, she stated that nurses are expected to document when the physician is contacted due to residents' high blood glucose levels. The DON stated they document this either on the back of the MAR indicated [REDACTED] R #145's high blood glucose levels on 4 separate days during (MONTH) (YEAR). | 2020-09-01 |