Diamond Care Center
DIAMOND CARE CENTER in BRIDGEWATER, SD — inspection on June 21, 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
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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.