cms_GA: 10585
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10585 | MAGNOLIA MANOR OF COLUMBUS NURSING CENTER - EAST | 115124 | 2010 WARM SPRINGS RD | COLUMBUS | GA | 31904 | 2010-11-10 | 281 | D | Inf | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, clinical record review, staff interview, review of a facility nurse's written statement, and review of the Model Nurse Practice Act/Model Nursing Administrative Rules, the facility failed to ensure that services, regarding medication administration, were provided in accordance with professional standards of quality and a physician's orders [REDACTED]. Findings include: As specified in the Model Nurse Practice Act/Model Nursing Administrative Rules, Chapter Two - Standards of Nursing Practice, Part 2.3.2 (J), Standards Related to Licensed Practical/Vocational Nurse, the nurse will administer medications accurately. Record review for Resident #1 revealed a current November 2010 physician's orders [REDACTED]. However, observation of Resident #1 conducted on 11/09/2010 at 4:30 p.m. revealed two [MEDICATION NAME]es applied to the resident's back. One [MEDICATION NAME] was dated as having been applied on 11/08/2010 and was on the resident's right back shoulder area. The second patch had an illegible date of application and was on the resident's right mid-back. This was acknowledged by Nurse "AA" and the Director of Nursing (DON), both of whom were in attendance at the time of this observation. During an interview with the DON conducted on 11/09/2010 at 4:40 p.m., the DON acknowledged that only one [MEDICATION NAME] should have been applied to Resident #1. In a written statement dated 11/11/2010 provided by Nurse "BB", Nurse "BB" documented that on 11/08/2010, she had removed a [MEDICATION NAME] dated 11/05/2010 from the left chest of Resident #1, and had then applied a new [MEDICATION NAME]. The nurse further documented that during the application of the [MEDICATION NAME] on 11/08/2010, the resident had exhibited some agitation, and that during the process of providing the resident comfort, she did not recall taking the removed [MEDICATION NAME] off the bed and discarding it. The nurse then indicated in her statement that this could have resulted in the removed patch becoming reattached to the resident when the certified nursing assistant turned the resident in the bed. Based on the above, the facility failed to provide drug therapy in accordance with professional standards, as ordered by the physician, by failing to ensure the proper removal and disposal of the [MEDICATION NAME] for Resident #1. | 2014-03-01 |