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.
|WELLBRIDGE HEALTHCARE GREATER DALLAS||4301 MAPLESHADE LANE PLANO, TX 75093||Nov. 8, 2016|
|VIOLATION: CONTENT OF RECORD - OTHER INFORMATION||Tag No: A0467|
|Based on review of records and interview the hospital failed to document 1 of 1 patient's (Patient #8)
1. The hospital nursing notes failed to include dates and times of all dressing, and bandage changes. Medical Records reflected the bandages and dressing changes should be completed in the record every other day. Nursing notes notated a dressing change on 10/06/16 at 1700 hours. The next dressing change was noted on 10/17/16 at 0900.
2. During an Interview with Hospital staff #2 the medical records were reviewed. Staff #2 verified the medical records for Patient #8 did not reflect times of all dressing, and bandage changes. Nursing Notes reflected, Staff #2 indicated that they have failed to document all times of all dressing, and bandage changes.