cms_NV: 50
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
50 | LEFA SERAN SNF | 295001 | 1ST AND A ST/ PO BOX 1510 | HAWTHORNE | NV | 89415 | 2019-10-16 | 622 | D | 0 | 1 | LI3Z11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, document review and interview, the facility failed to complete a discharge summary to include the required documentation for 2 of 12 sampled residents (Resident #3 and #12). Findings include: Resident #3 Resident #3 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. A Nursing Progress Note dated 09/21/19, documented Resident #3 was found to have difficulty breathing and swallowing and was transferred to the Emergency Department that day. Resident #3's clinical record lacked documented evidence of a completed discharge summary, to include the resident's representative and Advance Directive information. Resident #12 Resident #12 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. A Nursing Progress Note dated 10/04/19, documented Resident #12 was found to have difficulty swallowing and was unable to focus. The Nursing Progress Note documented the inability to obtain a blood pressure reading and the resident was transferred to the Emergency Department that day. Resident #12's clinical record lacked documented evidence of a completed discharge summary, to include the resident's representative and Advance Directive information. On 10/16/19 at 10:05 AM, the Director of Nursing (DON) confirmed a discharge summary was not completed for the 09/21/19 discharge of Resident #3 or the 10/04/19 discharge of Resident #12. The DON confirmed a discharge summary should have been completed after Resident #3 and #12 were discharged to the Emergency Department. The facility policy titled, Discharge of Resident, revised 11/21/17, documented a discharge summary must be completed within ten days after discharge. | 2020-09-01 |