cms_AK: 69
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
69 | WRANGELL MEDICAL CENTER LTC | 25015 | P.O. BOX 1081 | WRANGELL | AK | 99929 | 2018-04-30 | 759 | D | 0 | 1 | O8F911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, and interview the facility failed to ensure medication error rate was less than 5%. Specifically, 2 residents (#s 7 and 10), out of 4 residents observed receiving medications, were free of medication errors. This failed practice placed the residents at risk for over medication. Findings: Resident #7 Record review on 4/23-27/18, revealed Resident #7 was admitted to the facility with [DIAGNOSES REDACTED]. Review of Resident #7's physician orders [REDACTED]. During an observation on 4/24/18 at 8:58 am, Licensed Nurse (LN) #1 performed medication administration at Resident #7's bedside. The LN gave Resident #7 his/her [MEDICATION NAME] bottle to self-administer the medication. Resident #7 was observed to self-administer 2 sprays in each nostril. LN #1 did not correct this dosing error or provide education. Resident #10 Record review on 4/23-27/18, revealed Resident #10 was admitted to facility with [DIAGNOSES REDACTED]. Review of Resident #10's physician orders [REDACTED]. During an observation on 4/25/18 at 7:18 am, LN #1 performed medication administration at Resident #10's bedside. The LN gave Resident #10 his/her [MEDICATION NAME] bottle to self-administer the medication. Resident was observed to self-administer 2 sprays in each nostril. LN #1 did not correct this dosing error or provide education. During an interview on 4/27/18 at 2:00pm, LN #1 confirmed he/she did see both Residents dispense 2 sprays of [MEDICATION NAME] in each nostril and that he/she did not correct the dosing error or provide education on correct dosing. | 2020-09-01 |