cms_WV: 10763
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10763 | TRINITY HEALTH CARE OF MINGO | 515069 | 100 HILLCREST DRIVE | WILLIAMSON | WV | 25661 | 2009-09-10 | 332 | E | 0 | 1 | 667112 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review, and a review of the manufacturer's instructions for administration, the facility failed to assure it was free of medication error rates of greater than 5%. The facility had a medication error rate of 12.5 %. Medications not administered in accordance with the physician's orders [REDACTED]. Additionally, a nurse prepared to administer the incorrect vitamins, and a resident was not instructed to rinse his mouth out with water following the administration of the [MEDICATION NAME] Diskus. There were forty (40) opportunities with a total of five (5) medication errors observed. Resident identifiers: #75, #6, #63, and #47. Facility census: 77. Findings include: a) Resident #75 During the medication pass observation on 09/09 2009 at 9:00 a.m., the nurse (Employee #15) administered medications to Resident #75, including a dose of medication from a bottle labeled [MEDICATION NAME] 500 mg. Review of physician orders [REDACTED]. The dose administered did not match the medication ordered by the physician. b) Resident #6 During the medication pass observation on 09/09 2009 at 9:15 a.m., Employee #15 administered medications to Resident #6, including a dose of medication from a bottle labeled [MEDICATION NAME] 500 mg. Review of physician orders [REDACTED]. The dose administered did not match the medication ordered by the physician. c) Resident #63 During the medication pass observation on 09/09/09 at 9:20 a.m., the nurse administered medications to Resident #63, including the inhalant [MEDICATION NAME]. The nurse administered the [MEDICATION NAME] discus and then closed the Diskus and put it back in the cart. The nurse failed to instruct the resident to rinse his mouth out with water and spit after the administration of this medication. The nurse, when questioned about rinsing out the resident's mouth, she stated she was not aware that they had to do this. A review of the instruction sheet provided with the medication found: "After each dose, rinse your mouth with water and spit the water out. Do not swallow." This medication was not administered according to the manufacturer's instructions. d) Resident #47 During the medication pass observation on 09/09/09 at 9:45 a.m., the nurse (Employee #83) administered medications to Resident #47, including a dose of medication from a bottle labeled [MEDICATION NAME] 500 mg. Review of physician orders [REDACTED]. The dose administered did not match the medication ordered by the physician. The nurse, when questioned about the [MEDICATION NAME] without Vitamin D, stated this was what the pharmacy sent and told them to administer when they called and told them they needed [MEDICATION NAME] with Vitamin D, and this was what they had been giving the residents. e) Resident #47 Employee #83 was observed preparing the medications for administration for Resident #47. She took out a vitamin from the bottle labeled "Multi Vitamin with minerals". When the nurse prepared to administer the medications, this nurse surveyor intervened and asked the nurse to check again to be sure this was the correct medication. The nurse checked the bottle's label against the resident's Medication Administration Record [REDACTED]." She then obtained the other bottle of vitamins that did not contain minerals and administered a dose to the resident. . | 2014-12-01 |