Sadie G. Mays Health & Rehabilitation Center
SADIE G. MAYS HEALTH & REHABILITATION CENTER in ATLANTA, GA — inspection on June 26, 2024.
Found 2 citations. 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 the facility policy titled Administering Medications dated April 2019 that medications are administered in a safe and timely manner, and as prescribed; only persons licensed or permitted by this state to prepare, administer, and document the administration of medications may do so; the Director of Nursing Services supervises and directs all personnel who administer medications and/or have related functions; medications are administered in accordance with prescriber orders, including any required time frame; if a dosage is believed to be inappropriate or excessive for a resident, or medication has been identified as having potentially adverse consequences for the resident or is suspected of being associated with adverse consequences, the person preparing or administering the medication will contact the prescriber, the resident's attending physician or the facility's medical director to discuss the concerns; and the individual administering the medication checks the label three times to verify the right resident, right medication, right dosage, right time, and right method (route) of administration before giving the medication.
A review of the facility policy titled Pain Assessment and Pain Management dated October 2022 revealed that the purposes of this procedure are to help the staff identify pain in the resident and to develop interventions that are consistent with the resident's goals and needs and that address the underlying causes of pain.
Pain management is a multidisciplinary care process that includes the following: a.
Assessing the potential for pain; b.
Recognizing the presence of pain; d.
Addressing the underlying causes of the pain.
Review the resident's clinical record to identify conditions or situations that may predispose the resident to pain, including: a. musculoskeletal conditions: (1) degenerative joint disease; (2) rheumatoid arthritis.
Contact the prescriber immediately if the resident's pain or medication side effects are not adequately controlled.
A review of the facility policy titled Pressure Ulcer/Skin Breakdown, with a revision date of April 2018, revealed that the physician will assist the staff in identifying the type (for example, arterial or stasis ulcer) and characteristics (presence of necrotic tissue, status of wound bed, etc.) of an ulcer.
The physician will help identify and define any complications.
A review of the facility policy titled Pest Control dated May 2008 revealed that the facility shall maintain an effective pest control program.
Policy Interpretation and Implementation.
This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents.
115542
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 115542 B.
Wing 06/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sadie G.
Mays Health & Rehabilitation Center 1821 Anderson Avenue NW Atlanta, GA 30314
Findings included:
A review of the facility policy titled Activities of Daily Living (ADL), Supporting, with a revised date of March 2018 revealed that residents will be provided with care, treatment, and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs).
Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene.
Appropriate care and services will be provided for residents who are unable to carry out ADL care independently, with the consent of the resident, and in accordance with the plan of care, including appropriate support and assistance with hygiene (bathing, dressing, grooming, and oral care).
A review of the Admission Record for R9 revealed he was readmitted to the facility on [DATE] with diagnoses of, but not limited to, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, contracture of muscle right upper arm, contracture of right ankle, and vascular dementia.
A review of R9's most recent comprehensive Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of seven, indicating severe cognitive impairment. It was further documented that R9 required partial/moderate assistance for upper body dressing and substantial/maximal assistance for lower body dressing.
Functional Abilities (Self-Care and Mobility) triggered as an area of concern on the Care Area Assessment Summary (CAAS).
An observation on 5/3/2024 at 2:19 pm revealed R9 propelling himself down Unit A.
The resident stopped the surveyor and pointed to his clothing.
His speech was not understood.
Observation revealed the resident had remnants of food on his pants and shirt.
The resident nodded his head up and down when asked if he needed help with changing his clothes.
Charge Nurse KK and Charge Nurse MM were notified that the resident needed assistance with changing his clothes.
An observation on 5/3/2024 at 3:25 pm revealed R9 sitting in a wheelchair in his room.
Further observation revealed that R9 stopped Certified Nursing Assistant (CNA) CCC and asked for assistance with changing his clothes and getting in the bed. He was still observed with remnants of food on his pants and shirt.
In an interview on 5/3/2024 at 3:30 pm, Unit Manager (UM) JJ confirmed that R9 had food on his shirt and pants and that the charge nurses should have assisted R9 with changing his clothes.
She stated the resident should not have had to wait over an hour for assistance.
Cross-Reference