cms_UT: 74
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 |
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74 | HARRISON POINTE HEALTHCARE AND REHABILITATION | 465009 | 3430 HARRISON BOULEVARD | OGDEN | UT | 84403 | 2019-11-06 | 580 | D | 0 | 1 | F3KR11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review it was determined, for 1 of 21 sampled residents, that the facility staff did not immediately consult with the resident's physician when there was a significant change in the residents status. Specifically, a resident had elevated blood glucose levels with a physician's orders [REDACTED]. There was no documentation the the physician was notified. Resident identifier: 20. Findings include: Resident 20 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 20's medical record was reviewed on 11/5/19. A physician's orders [REDACTED].= 2 (Units); 200-249 = 4; 250-299 = 6; 300-349= 8; 350-399 = 10; [PHONE NUMBER]=12 notify MD (Medical Doctor) if > (greater than) 400, subcutaneously before meals and at bedtime for [MEDICAL CONDITION]. Resident 20's Medication Administration Record (MAR) for (MONTH) 2019 revealed the following blood glucose (BG) levels on 9/27/19. A BG of 468 at 11:30 AM, a BG of 429 at 3:30 PM, and a BG of 434 at 8:00 PM. There was no documentation that the physician was notified. Resident 20's MAR for (MONTH) 2019 revealed on 10/2/19 at 3:30 PM, a BG of 405. There was no documentation that the physician was notified. A physician's orders [REDACTED].= 3; 200 - 249 = 5; 250 - 299 = 7; 300 - 349 = 9; 350 - 399 = 11; 400 - 9999 = 13 notify MD if >400, subcutaneously four times a day for [MEDICAL CONDITION]. Resident 20's MAR for (MONTH) 2019 revealed the following BG levels. On 10/3/19 a BG of 442, on 10/4/19 a BG of 459, on 10/5/19 a BG of 420, on 10/8/19 a BG of 407, on 10/12/19 a BG of 425, and on 10/15/19 a BG of 415. There was no documentation that the physician was notified. On 11/5/19 at 3:10 PM, an interview was conducted with the Director of Nursing (DON). The DON stated when a resident blood glucose was over 400, the nurse documented the blood glucose, administered the insulin according to physician orders, and notified the physician. The DON stated there was a box for the nurses to check documenting that the physician was notified. The DON reviewed the MAR and there were no areas to document that the physician was contacted. On 11/5/19 at 3:33 PM, an interview was conducted with the Assistant Director of Nursing (ADON). The ADON stated that there was no documentation that the physician had been notified when the blood glucose was greater than 400. | 2020-09-01 |