Pleasant View Nursing Center

Observation during the survey from 8/18/2024 through 8/20/2024 revealed R43 lying in bed with no splint device, and his left hand third and fourth fingers were folded into the palm of his hands.

During an interview on 8/18/2024 at 3:25 pm, R43 reported a concern about not receiving therapy services for a splint device and range of motion (ROM) for his left-hand contracture.

In an interview on 8/21/2024 at 12:58 pm, the Unit Manager acknowledged that R43 had a physician order for therapy evaluation.

She reported being unaware that the order was not followed up on.

In an interview on 8/21/2024 at 1:10 pm, the Director of Rehabilitation confirmed the therapy department had not performed therapy evaluations for R43.

She confirmed that she met the resident at the time of admission and was aware of his contracture.

She stated she felt the resident would benefit from ROM therapy services and a splint device.

In an interview on 8/21/2024 at 4:55 pm, the Director of Nursing (DON) reported that her expectation was for physician orders to be followed.

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2. A review of R78's Face Sheet revealed diagnoses including, but not limited to, dysphagia and unspecified severe protein-calorie malnutrition.

A review of R78's Significant Change MDS, dated [DATE], revealed section K (Swallowing/Nutritional Status) documented R78 had a feeding tube and received 51 percent or more of total calories and 501 cubic centimeters (cc) or more per day of fluid intake through the feeding tube.

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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 115411 B.

Wing 08/21/2024

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

Pleasant View Nursing Center 475 Washington Street Metter, GA 30439