Magnolia Manor Of Columbus Nursing Center - East
MAGNOLIA MANOR OF COLUMBUS NURSING CENTER - EAST in COLUMBUS, GA — inspection on June 27, 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:
R1 was admitted to the facility with a diagnosis of type 2 diabetes mellitus.
Review of R1's physician's orders revealed an order, dated 12/18/2023, for 6 units of Novolog insulin to be administered before meals.
There was also an order, dated 12/18/2023, for 30 units of Lantus insulin to be administered daily, in the morning for a diagnosis of diabetes.
However, facility nursing staff failed to administer insulin medication as ordered on 6/10/2024.
Review of a Patient Instructions for Hospital Procedure form, dated 5/9/2024, for R1, from the Cardiologist office, revealed that R1 was scheduled for a vascular procedure, an Atherectomy with run off (procedure to remove plaque buildup and open narrow or blocked arteries), on 6/10/2024.
The instructions on the form included to hold insulin the day of the procedure.
Review of a 6/7/2024 7:13 pm nurse's note revealed that pre-operation orders were noted for a surgical procedure scheduled for 6/10/2024.
The nurse's note documented that the orders included not give diabetic medications or insulin the day of the procedure.
During an interview on 6/26/2024 at 3:05 pm, the Director of Nursing (DON) stated that transportation picked R1 up on 6/10/2024 at 6:29 am for his procedure that day and returned to the facility at 12 noon.
Review of the surgical center procedure notes revealed that R1 underwent an Atherectomy/Runoff on 6/10/2024.
Review of R1's June 2024 electronic Medication Administration Record (eMAR) revealed the order of do not give any diabetic medications or insulin the day of the procedure, 6/10/2024 was documented.
However, further review of the June 2024 eMAR revealed that licensed nursing staff administered 6 units of Novolog insulin at 3:49 pm and 6:30 pm and 30 units of Lantus insulin at 12:00 pm on 6/10/2024.
During an interview on 6/25/2024 at 4:50 pm, DON stated that even though there was an order to hold insulin on 6/10/2024, there was a computer input error.
When she reviewed the hold history, the Novolog insulin had been put on hold for 6/10/2024, but the time of the hold was from 12 am to 10am, instead of the whole day, in error.
Further review of R1's clinical record revealed a physician's order, dated 12/18/2023, for licensed nursing staff to obtain finger stick blood sugar (FSBS) levels before meals and at bedtime.
Review of the December 2023 through June 2024 eMARs revealed that FSBS levels were obtained at 6:00 am, 11:30 am, and 4:30 pm.
However, there was no bedtime FSBS level scheduled or obtained until after surveyor inquiry on 6/18/2024.
115124
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 115124 B.
Wing 06/27/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Magnolia Manor of Columbus Nursing Center - East 2010 Warm Springs Rd Columbus, GA 31904