cms_NV: 75
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 75 | LAS VEGAS POST ACUTE & REHABILITATION | 295006 | 2832 S. MARYLAND PARKWAY | LAS VEGAS | NV | 89109 | 2017-05-04 | 204 | D | 1 | 1 | XLYQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, record review and document review, the facility failed to ensure a resident was prepared for a safe discharge to another facility for 1 of 15 sampled residents (Resident #15). Findings include: Resident #15 Resident #15 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. A physician order [REDACTED]. A nurses note dated 9/27/16, documented the resident was discharged and transported to a group home. The clinical record lacked documented evidence of the address for the group home. The Minimum Data Set (MDS), dated [DATE], documented the resident was total dependence for bed mobility, transfer, locomotion, dressing, toilet use, personal hygiene and bathing. The resident's weighed 305 lbs. The dimensions of unhealed stage 3 and stage 4 pressure ulcer was 18.0 pressure ulcer length and 18.0 pressure ulcer depth. Resident #15's clinical record contained an Interdisciplinary Discharge Summary form dated 9/27/17. The following areas were not completed on the form or were blank: The treatment provided. The progress and the reason for discharge/discharge diagnoses. Assistive devices the resident required The drug therapy required. On 5/2/17, in the afternoon, the Social Worker explained an independent group home was a not licensed. Resident's who were discharged to this type of home were fully ambulatory, administer their own medications and toilet independently. The Social Worker explained to determine if group home was licensed the Social Worker would request the group homes current license faxed to the facility. On 5/4/17 at 10:45 AM, the Social Worker explained the expectations of discharging a resident to a group home involved the following: Finding the appropriate place to care for the resident's needs Notify the resident of the transfer Take them to the group home to make sure the resident was comfortable at the facility Set up any home health required Make sure the finances were suitable. The Social Worker explained the discharge planning should be documented in the resident's clinical record. The Social Worker was not able to provide documentation of the following: The resident had been notified of the transfer. The resident had been taken to the group home to make sure the resident was comfortable at the facility. Home health Care had been arranged (Physicians order to follow up with wound care) Make sure the finances were suitable. On 5/4/17 at 1:45 PM, the Director of Nursing (DON) explained the discharge planning to a group home involved the family and the resident. The resident was taken to the group home to make sure the group home could meet the resident's needs. The report of the resident's health status was given to the accepting facility to make sure the resident was appropriate. The discharge planning should be documented in the resident's clinical record. The DON could not explain where the resident was discharged to, as the documentation was not in the resident's clinical record. The facilities policy titled, Transfer or Discharge Orientation, undated, documented the purpose of the orientation was to ensure a safe and orderly transfer or discharge from the facility. Complaint # | 2020-09-01 |