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.
|WELLMONT BRISTOL REGIONAL MEDICAL CENTER||ONE MEDICAL PARK BLVD BRISTOL, TN 37620||Oct. 19, 2015|
|VIOLATION: MEDICAL RECORD SERVICES||Tag No: A0450|
|Based on facility policy review, medical record review, and interview, the facility failed to follow facility policy for one patient (#4) of five patients reviewed.
The findings included:
Review of facility policy, Admission of a Patient, last revised on 10/2013 revealed "...Responsibilities...the licensed practical nurse...Registered Nurse may be responsible for...obtaining weight..."
Medical record review revealed Patient #4 was admitted to the Senior Care Unit at the facility on 1/20/15 with diagnoses including Alzheimer's, Dementia, Dysphagia, Periodontal Disease, Abnormal Finding of Lung, Hypopotassemia, and Constipation.
Medical record review revealed the patient's first documented weight was on 2/1/15 (twelve days after admission).
Interview with the Chief Nursing Officer on 9/22/15 at 8:34 AM, in the conference room, revealed "...February 1st is the first date I see a weight...should've been one on admission... or documentation of why a weight was not taken..." Further interview confirmed the facility did not follow facility policy.