cms_RI: 14
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14 | GREENWOOD CENTER | 415008 | 1139 MAIN AVENUE | WARWICK | RI | 2886 | 2019-11-26 | 635 | D | 0 | 1 | FCLN11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it has been determined that the facility failed to obtain complete admission orders [REDACTED]. Findings are as follows: Review of the facility policy entitled Skin Integrity Management revealed in part Practice Standards as follows; .3. Identify patient skin integrity status and need for prevention or treatment modalities . 7. Notify Physician/APP to obtain orders . Record review revealed Resident ID #43 was admitted on (MONTH) 27, 2019 with admitting [DIAGNOSES REDACTED]. Record review for Resident ID #43 revealed a continuity of care form dated 09/27/2019 which documented a stage II pressure sore on the coccyx, with a white wound bed, pink peri-wound and a scant amount of brown drainage. A left heel wound was determined to be unstageable. An additional wound was assessed as a black necrotic area on tip of toe. The record lacked evidence of physician orders for wound care for all areas until 09/30/2019. During a two-surveyor interview on 11/26/2019 at approximately 2:45 PM with the Director of Nurses, she was unable to provide evidence the orders for wound care were obtained from the primary care physican prior to 09/30/2019. | 2020-09-01 |