cms_WV: 3595
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3595 | NELLA'S INC | 51A010 | 499 FERGUSON ROAD | ELKINS | WV | 26241 | 2020-02-26 | 757 | D | 0 | 1 | VTHQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure residents were free from unnecessary medications for one (1) of five (5) residents reviewed for medication pass. Resident identifier: #326. Facility census: 76. Findings included: a) Resident #326 Resident #327's Medication Administration Record (MAR) was reviewed after his medication pass was observed. Resident #327 was noted to have the following medication orders written on 02/12/20: - [MEDICATION NAME] 10 mg orally twice a day for hypertension, hold for systolic blood pressure less than 100 - [MEDICATION NAME] 50 mg every day, hold for systolic blood pressure less than 110 or pulse less than [AGE] He also had an order for [REDACTED]. Review of Resident #327 s Medication Administration Record (MAR) demonstrated he had received [MEDICATION NAME] every day at 9:00 AM and 9:00 PM. He had also received [MEDICATION NAME] every day at 9:00 AM. The resident's blood pressure and pulse measurements were not documented on the MAR. Additionally, the resident's blood pressure and pulse readings were not documented on the vital signs sheet. On 02/24/20 at 10:30 AM, the Director of Nursing (DON) stated blood pressure and pulse measurements for Resident #327 were recorded in the progress notes. Review of Resident #327's progress notes revealed blood pressure and pulse measurements had been recorded twice daily in the progress notes. On 0[DATE] at 8:00 AM, Resident #327's blood pressure was recorded as 98/[AGE]. Review of Resident #327's MAR documented he had received both [MEDICATION NAME] and [MEDICATION NAME] at 9:00 AM on 0[DATE]. On 02/24/20 at 10:45 AM, the Director of Nursing acknowledged Resident #327's blood pressure on the morning of 0[DATE] was below the parameters for which he should have received [MEDICATION NAME] and [MEDICATION NAME] administration. | 2020-09-01 |