Grove Healthcare And Rehabilitation Center And Reh

F-F867 QAPI/QAA.

Review of the audits showed all active residents in the facility with orders for blood sugar monitoring and insulin administration (32) was reviewed to identify concerns related to insulin administration with the physician orders for the last 30 days with no concerns identified. Review of the audits showed 44 residents were reviewed for changes in condition related to possible hypoglycemia, change in condition, validation of physician notification, physician orders, and implementation of orders over the last 30 days with no concerns identified. During staff interviews conducted on [DATE REDACTED], seven LPNs and two RNs verified receiving the training and verbalized understanding of diabetes management, policy and procedure on change in condition, anti-hypoglycemia administration and interventions, notification of the DON/ADON when hypoglycemic interventions initiated, documentation of results, and following up with the physician. During interviews conducted on [DATE REDACTED], the Administrator and the Director of Nursing confirmed receiving training regarding QAPI, identifying issues to bring to QAPI, job responsibilities, failure to identify a concern, change

in condition, documentation, the new systems put in place.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 23 of 23 106036