The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

TRINITY ROCK ISLAND 2701 17TH ST ROCK ISLAND, IL 61201 Oct. 16, 2012
VIOLATION: RN SUPERVISION OF NURSING CARE Tag No: A0395
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**


Based on record review and interview, it was determined, that for 1 of 10 records reviewed (Pt. #1), that the Hospital failed to ensure the patient were reassessed every 8 hours, as required by policy.

Findings include:

1. Hospital policy # .282 (600), revised 3/30/12, titled " Assessment / Reassessment Plan required " Reassessments and documentation are to be performed a minimum of every eight hours in acute care settings ..."

2. The clinical record for Pt. #1 was reviewed and included that Pt. #1 was an [AGE] year old female, arriving in the ED on 8/10/12 at 5:35 PM, with complaints of "nausea [for] several days, open wounds on legs." The ED nursing assessment dated [DATE] at 7:30 PM, included, "Patient has healing wounds on forearms and legs ... seeping peripheral edema in four extremities ..." The ED physician's assessment dated [DATE] at 7:57 PM, also included open lower extremity wounds and pitting edema. Pt. #1 was admitted to 7 South, an acute care unit, on 8/11/12 at 1:20 AM. Reassessment was not done for Pt. #1's lower extremities at least every 8 hours for 5 of 11 periods between 8/11/12 and 8/14/12.

3. An interview was conducted with the 7 South Nursing Manager on 10/16/12 at approximately 11:30 AM. The Manager stated that Pt. #1's lower extremity reassessments had not been completed every 8 hours for 5 periods during Pt. #1's hospitalization .