Cliveden Nursing And Rehabilitation Center (August)
Based on the clinical record review and and staff interviews it was determined that the nursing home failed to provide dental services to one of 18 residents. The findings included the following: Review of Resident 86’s periodic assessment revealed the resident’s diagnosis. Review of a nursing progress note dated June 8, 2012 revealed that Resident’s 86’s left cheek was swollen and painful and that the physician was notified and ordered antibiotic therapy and dental consultation. Review of the physician’s orders. An interview with the director of nursing services on August 14, 2012 at 8:20 a.m. confirmed that the dental consult was not completed.
Based on observation, a staff interview and clinical record review it was determined that the nursing home failed to ensure aseptic technique during during blood sugar monitoring for one of 18 residents reviewed. Those findings included the following: Observation of glucose monitoring of Resident R 106 on August 10, 2012 at 11:30 a.m. with Employee E1, a licensed nurse, revealed that there was a physician’s table. Employee E1 then obtained the resident’s glucose level and returned the container to the medication cart without cleaning the device. Employee E1 revealed that the glucose monitoring device and lancets were for community use. The nurse failed to properly use disinfect the glucose monitoring device placing other residents at risk for infection. In an interview with the director of nursing services on August 14, 2012 at 12:00 p.m. confirmed that it is required that glucose monitoring device be disinfected/sanitized with germicidal disposable wipe before and after use.