Taylor County Health And Rehabilitation
TAYLOR COUNTY HEALTH AND REHABILITATION in BUTLER, GA — inspection on August 28, 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
Review of R52's undated Face Sheet located in electronic medical record (EMR), under the Face Sheet tab, indicated the resident was admitted to the facility on [DATE], with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, abnormalities of gait and mobility, and muscle weakness.
Review of R52's annual Minimum Data Set (MDS), located in the EMR, under the MDS tab, with an Assessment Reference Date (ARD) of 4/17/2024, revealed the facility assessed the resident to have a Brief Interview of Mental Status (BIMS) score of nine out of 15, which indicated the resident was moderately cognitively impaired.
Additionally, R52 was assessed as being dependent (2-person assist) on staff for toileting hygiene, shower/bathe, upper/lower body dressing, putting on/taking off footwear, and required extensive/substantial assistance for all personal care.
There were no falls noted prior to admission or after admission during this assessment.
Review of R52's Comprehensive Nursing assessment dated [DATE], provided by the facility as evidence of a Fall Assessment prior to resident's fall revealed Functional Status: .
Does the patient need assistance moving from sitting to lying position in bed? Yes. If the patient has difficulty from sit-lying [sic] in bed, answer the following.
Staff completes all of the tasks .If the patient need assistance moving from lying to sitting position on the side of the bed, answer the following.
Staff completes all of the tasks. If the patient needs assistance with toileting hygiene, answer the following.
Staff completes all of the tasks .Care Plan consideration- all items checked below will trigger to care plan.
Activities of Daily Living [ADLs]: Two people assist with transfers.
115507
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 115507 B.
Wing 08/28/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Taylor County Health and Rehabilitation 165 South Broad Street Butler, GA 31006