Rockdale Healthcare Center
Inspection Findings
F-Tag F0578
F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the staff sees the DNR order, they would not resuscitate the resident during an emergency; therefore, the staff would go against the resident's wishes.In an interview on [DATE REDACTED] at 3:26 pm, the Interim Director of Nursing confirmed the Advance Directive in the EMR for Resident R71 was a DNR order, and the DNR was the status in the header of the EMR. She further confirmed that a current Full Code Advance Directive, signed
on [DATE REDACTED], was on file in the EMR for the resident. She stated that she placed the DNR order in the EMR and that it was a human error. She stated she inadvertently discontinued the wrong Advance Directive, and
she should have placed the Full Code Advance Directive in the EMR instead. She stated that in an emergency, the staff would first look at the orders and the dashboard/header in the EMR for the resident's Advance Directive, and if the incorrect Advance Directive of DNR was in the orders and on the EMR dashboard, a negative outcome could be that the staff would not commence resuscitation for the resident.In
an interview on [DATE REDACTED] at 3:32 pm, the Unit Manager (UM) of the 200 Hall stated that the staff would first look in the EMR system for a resident's Advance Directive, and the staff would look for the order in the banner/dashboard. The UM stated that the staff would see a DNR order and a DNR Advance Directive status in the banner in the EMR for Resident R71. She stated that if Resident R71 had a DNR order and DNR banner/header
in the EMR when Resident R71's current Advance Directive status was Full Code, a negative outcome would be that
in an emergency, the staff would not attempt to resuscitate Resident R71.
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If continuation sheet
Rockdale Healthcare Center in CONYERS, GA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CONYERS, GA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Rockdale Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.