cms_WY: 63
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
63 | SUBLETTE CENTER | 535017 | 333 N BRIDGER AVE | PINEDALE | WY | 82941 | 2019-03-14 | 661 | D | 0 | 1 | 68ZB11 | Based on medical record review and staff interview, the facility failed to provide the necessary elements of a discharge summary for 1 of 2 sample residents (#29) discharged . The findings were: 1. Review of the medical record for discharged resident #29 showed that the form with the heading Interdisciplinary Discharge Summary did not include diagnoses, pertinent lab results, a reconciliation of all pre-discharge medications with post-discharge medications, or a post-discharge plan of care indicating where the individual planned to reside. There was no documentation of arrangements for follow up care, ordered lab work, or continued medication oversight. Review of the Medication Administration Record [REDACTED]. These changes and future dosing plans were not addressed in the Interdisciplinary Discharge Summary. 2. Interview with the administrator and medical records staff #1 on 3/13/19 4:45 PM confirmed that the Interdisciplinary Discharge Summary was the only form in use for discharges and they acknowledged it was incomplete. | 2020-09-01 |