cms_GA: 8144
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8144 | GOLDEN LIVINGCENTER - BRIARWOOD | 115322 | 3888 LAVISTA ROAD | TUCKER | GA | 30084 | 2012-04-05 | 281 | D | 0 | 1 | HTVV11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and review of the Georgia Practical Nurses Practice Act, the facility failed to ensure that a physician's order was written from a pharmacist recommendation for one (1) resident (#177) out of a sample of twenty-nine (29) residents. Findings include: Review of Clinical Intervention Center (CIC) Physician Recommendation from Pharmacist dated 3/22/12 revealed that the pharmacist recommended that [MEDICATION NAME] forty (40) milligrams (mg) be discontinued as the therapy was no longer needed. Continued review revealed that on 3/23/12 the physician responded to the recommendation, accepting the suggestion and requesting that a new order be written to discontinue the medication. Review of physician orders from 3/23/12 until 4/05/12 revealed no evidence that the order had been written to discontinue the medication. Review of March and April, 2012 Medication Administration Record [REDACTED]. Interview with West Wing Unit Manager AA on 4/5/12 at 10:23 a.m. revealed that there was no evidence that a physician order had been written to discontinue the [MEDICATION NAME]. Continued interview revealed that the nurses are the ones who are responsible for checking the charts that are flagged and writing any physician orders and/or recommendations. Interview with the Director of Nursing (DON) on 4/5/12 at 10:35 a.m. revealed that the night shift is responsible for a twenty-four (24) hour chart review. Review of the Georgia Practical Nurses Practice Act revealed that the practice of licensed practical nursing means the provision of care for compensation related to the maintenance of health and prevention of illness through acts which shall include but not limited to: -Implementing appropriate aspects of client care in a timely manner -Administering medications accurately | 2016-06-01 |