Failure to Timely Schedule Colonoscopy for Resident
Penalty
Summary
The facility failed to schedule an appointment for outside services in a timely manner for a resident, identified as CR1, who was admitted with diagnoses including cerebral infarction, high blood pressure, and aphasia. On December 9, 2024, a nurse aide reported blood in the resident's colostomy bag to an LPN, who confirmed the presence of blood and notified the RN supervisor. The RN tested the stool, which was positive for blood, and the physician was informed, resulting in a new order to schedule a colonoscopy. However, a review of the resident's clinical record from December 10, 2024, through January 13, 2025, showed no attempt was made to schedule the colonoscopy. A concern was raised by the resident's representative on January 16, 2025, about the failure to schedule the procedure. The Director of Nursing confirmed during an interview on January 30, 2025, that the facility did not schedule the appointment in a timely manner.
Plan Of Correction
Appointment was not able to be rectified with patient CR1 as resident was discharged from the facility. Order was placed for colonoscopy for facility to facility transfer that was sent with patient. All orders for the previous week have been addressed for any appointments that need to be made and done so in a timely manner. Nursing home administrator to educates Medical Records Clerk and Appointment Scheduler on appointment orders and having appointments made within a timely manner. After appointments are made, the resident and responsible party will be notified of the appointments. Audits will be performed on appointment orders by Director of Nursing or Designee 3 times a week x3 weeks, 2 times a week x2 weeks, and 1 time a week x2 weeks. This plan of correction will be monitored at the Monthly Quality Assurance meeting until substantial compliance has been met.