GRAMERCY COURT
2200 GRAMERCY DRIVE, SACRAMENTO, CA 95825
Citation Number: 030005091
Citation Date: 6/2/2008
Violation Date: 2/10/2006
Class: AA
Penalty: $ 90100.0

The facility failed to continually assess a 73 year old woman's hydration needs for two weeks during June, 2006. On 6/20/06, the resident was transferred to an acute care hospital after her physician learned she had dropped 22 pounds, had increased respirations and was becoming non-verbal. The resident was diagnosed with a urinary tract infection, blood poisoning and renal failure, and passed away two days later. The facility was cited for failing to implement/update a careplan for hydration, failing to provide the necessary fluids for the resident's hydration needs to prevent a urinary tract infection and dehydration, and failing to implement their policy regarding careplanning.