Diamond Care Center

Review of the provider's 6/10/24 SD DOH FRI revealed:

*On 6/10/24 at 12:36 p.m. hospice registered nurse (RN) L contacted interim director of nursing (IDON) G and informed her that resident 1 had open sores on her buttocks.

-Dressings had been provided on 6/7/24 by hospice to the provider's staff.

-The provider's staff did not use the dressings for resident 1 as they just put her in wheelchair and applied cream to buttocks.

-Hospice RN H spoke with the provider's licensed practical nurse(LPN) I and stated to apply the dressing once resident 1 was placed back into her bed.

*On 6/10/24 after the conversation between hospice RN L and IDON G, IDON G notified resident 1's family that she had developed pressure sores to her bilateral buttocks likely over the weekend.

-IDON G then had LPN J place the standing order dressings on the wounds.

Review of resident 1's medical record revealed:

*She was admitted on [DATE].

*She was admitted to hospice on 1/9/24.

*On 6/6/24 two reddened areas were identified on her buttocks.

-On 6/7/24 hospice provided Optifoam (foam dressing with adhesive borders) dressings for the reddened area.

*Her family was notified on 6/10/24 of the pressure ulcers and their condition.

*On 6/11/24 a Wound Documentation assessment was completed which indicated the onset date as 6/6/24.

-The 6/11/24 Wound Documentation indicated there were currently six areas identified as pressure wounds.

-Areas identified and the measurements of each were:

435114

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 435114 B.

Wing 06/21/2024

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

Diamond Care Center 901 N Main Ave Bridgewater, SD 57319