Southland Healthcare And Rehab Center

F-F580.

Interview on [DATE] at 1:34 pm with Physician QQ revealed that a resident with an 83 percent pulse oxygenation should have been sent to the emergency room (ER) immediately and needed an advanced level of care.

Physician QQ stated that R1 had no respiratory care needs, was cognitive, and could verbalize his needs and tell you what was wrong.

Physician QQ further revealed that this was the first he had heard that R1 had expired and R1 was on his monthly follow-up for the next week.

Physician QQ stated there was no excuse for this, and a Do Not Resuscitate (DNR) status does not mean withholding care.

An interview on [DATE] at 2:12 pm with the DON revealed that R1 should have been sent to the hospital and the physician should have been called.

The DON stated that she was not aware of R1's death circumstances.

The DON further revealed that the RN Supervisor told her in the morning meeting that R1 had passed in his sleep and was a DNR.

An interview on [DATE] at 3:18 pm with the Administrator revealed he was not aware of R1's death circumstances until the surveyor started interviewing the staff.

The Administrator stated that once he was made aware, he held an Ad Hoc meeting and began education on notification and documentation of changes in condition and code status.

115376

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 115376 B.

Wing 07/11/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Southland Healthcare and Rehab Center 606 Simmons St Dublin, GA 31040