Nurse Care Of Buckhead
NURSE CARE OF BUCKHEAD in ATLANTA, GA — inspection on August 1, 2024.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included:
A review of facility in-service training titled, Enhanced Barrier Precautions, dated March 2024, revealed, .
Enhanced Barrier Precautions (EBP)- include the use of gloves and gown when caring for residents with chronic wounds or indwelling medical devices during high-contact resident activities .Residents requiring EBP (gowns and gloves for care) include chronic wounds, wounds with dressings .
Gloves and gowns are to be worn when providing the following high-contact resident activities.
Dressing, bathing/showering, transferring, changing linen, providing hygiene, changing briefs, or assisting with toileting.
Any care that requires close contact .
A review of the Admission Record located in the Profile tab of the electronic medical record (EMR) revealed R53 was admitted to the facility on [DATE] with diagnoses that included a stage four pressure ulcer (full thickness tissue loss with exposed bone, tendon, or muscle), a gastrostomy tube (a feeding tube which provides nutrition to people who cannot eat by mouth) and dementia.
A review of the quarterly Minimum Data Set (MDS) assessment located in the MDS tab of the EMR with an Assessment Reference Date (ARD) of 6/6/2024 revealed R53 was severely impaired in cognition, was dependent on staff for all activities of daily living (ADL) care, had one stage four pressure ulcer, and received nutrition via a gastrostomy tube.
During an observation on 7/23/2024 at 10:00 am, Certified Nursing Assistant (CNA) YYY and CNA GG were observed setting up supplies to give R53 a bed bath.
Neither CNA was observed to be wearing a gown. CNA YYY removed her gloves and left the room, upon returning to the bedside, she donned new gloves without using hand hygiene. CNA YYY removed R53's brief and with the same gloves, cleaned the front peri area. R53 was turned onto her right side by CNA GG and the soiled brief, with feces, was removed. CNA YYY did not remove her soiled gloves after she placed the soiled brief into the plastic bag.
With the same gloves, and without performing hand hygiene, CNA YYY removed the draw sheet, obtained a clean washcloth, and cleaned her buttocks. CNA YYY and CNA GG were asked if they had been in-serviced on EBP and what the requirements were when providing high-contact care, such as a bed bath. CNA YYY shrugged and stated, I don't know.
115129
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 115129 B.
Wing 08/01/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Nurse Care of Buckhead 2920 Pharr Court South NW Atlanta, GA 30305