| 75 |
SERENITY REHABILITATION AND HEALTH CENTER LLC |
95015 |
1380 SOUTHERN AVE SE |
WASHINGTON |
DC |
20032 |
2018-07-20 |
756 |
E |
0 |
1 |
L7I811 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview of three (3) of 56 sampled residents, the physician failed to document the review of the pharmacist recommendations and document the action to be taken or not taken to address the recommendation for one (1) resident receiving blood pressure medication; one (1) resident receiving an antibiotic and iron supplement; and one (1) resident receiving a blood thinner and antacid. Residents' # 38, #104 and #138. Findings included . 1. The attending physician failed to document review of the pharmacist recommendation to check pulse pre the administration of [MEDICATION NAME] at 9 am for Resident #38. Resident #38 was admitted to the facility on (MONTH) 24, 2005, with [DIAGNOSES REDACTED]. Review of the Medication Regimen Review dated (MONTH) 3, (YEAR), showed recommendation for pulse check with the administration of the 9AM dose of [MEDICATION NAME]. A review of the May, June, and (MONTH) (YEAR) Medication Administration Records showed [MEDICATION NAME] tablet 10MG ([MEDICATION NAME]) one tablet given by mouth one time a day for Hypertension with blood pressure record. However, the Medication Administration Records for May, June, and (MONTH) 201,8 does not contain documentation of the pulse rate. A review of the physician progress notes [REDACTED]. During a face-to-face interview on (MONTH) 20, (YEAR), Employee #19 reviewed the record and acknowledged the findings. 2. The attending physician failed to document review of the pharmacist recommendation to [MEDICATION NAME] Iron two hour apart; and to establish a stop date for the administration of [MEDICATION NAME] for Resident #104. Resident #104 was admitted to the facility on (MONTH) 10, (YEAR), with [DIAGNOSES REDACTED]. A review of the Drug Regimen Review record showed pharmacist recommendation as follows: On (MONTH) 24, (YEAR), the pharmacist asked the physician to consider an end date for [MEDICATION NAME] and separating the administration [MEDICATION NAME] Iron by two (2) hours. On (MONTH) 24, (YEAR), the pharmacist again asked the physician to consider separating the administration [MEDICATION NAME] Iron by two hours as well as [MEDICATION NAME]. On (MONTH) 26, (YEAR), the pharmacist again asked the physician to consider separating the administration [MEDICATION NAME] Iron by two hours. Review of the physician orders [REDACTED].#104 continued to receive [MEDICATION NAME] 80 milligrams once a day, without an end date documented, [MEDICATION NAME] milligrams two (2) times daily at 9AM and 9 PM and Iron 325 milligrams once daily at 9 AM. A review of the physician progress notes [REDACTED]. During a face-to-face interview on (MONTH) 20, (YEAR), Employee #19 reviewed the record and acknowledged the findings. 3. The attending physician failed to document the review of the pharmacist recommendations and document the action to be taken or not taken to address the recommendation to schedule [MEDICATION NAME] at bedtime for Resident #138. Resident #138 was admitted to the facility on (MONTH) 6, (YEAR), with [DIAGNOSES REDACTED]. A review of the Drug Regimen Review records showed the pharmacist recommendations as follows: On (MONTH) 24, (YEAR), the pharmacist suggest changing [MEDICATION NAME] administration time to bedtime. On (MONTH) 24, (YEAR), the pharmacist questioned if [MEDICATION NAME] could be reduced. On (MONTH) 26, (YEAR), the pharmacist suggested changing [MEDICATION NAME] administration time to bedtime Review of the Medication Administration Record [REDACTED]. A review of the physician progress notes [REDACTED]. During a face-to-face interview on (MONTH) 20, (YEAR), Employee #19 reviewed the record and acknowledged the findings. |
2020-09-01 |