State Findings:
Based on record review and staff interviews, the facility failed to have a dependent resident assessed by a licensed medical professional when the resident complained of pain and swelling was noted to her leg that was subsequently determined to be a fracture which caused a delay of treatment for 1 of 3 residents reviewed for accidents (Resident #5).
During an interview on 09/09/21 at 1:40 PM, Nurse # Nurse #4 confirmed she was assigned to provide care to Resident #5 on 05/30/21 during the hours of 6:30 PM to 6:30 AM. Nurse #4 stated during early morning rounds on 05/31/21, Resident #5 complained of pain in her right lower extremity and upon assessment, she noticed it was swollen but had no discoloration or signs of obvious fracture. Nurse #4 stated when Resident #5 received her scheduled pain medication and ice was applied, her pain lessened. Nurse #4 added she did not contact the on-call physician but did give report during shift change and left a communication note for the MD or Nurse Practitioner to evaluate.
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Personal Note from NHA-Advocates
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