cms_GA: 8405
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8405 | BROWN HEALTH AND REHABILITATION | 115090 | 545 COOK STREET | ROYSTON | GA | 30662 | 2011-10-06 | 332 | E | 0 | 1 | Z6CD11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview the facility failed to achieve a medication error rate of less than five percent (5%). Four (4) errors were observed on three (3) residents (#30, #41 and #98). The errors were made by three (3) of six (6) nurses on three of six medication carts resulting in a medication error rate of 5.26 percent. Findings include: Observation of medication administration to resident #41 by Licensed Practical Nurse (LPN) CC on 10/05/11 at 10:00 a.m. revealed the nurse administered one puff of a [MEDICATION NAME] HFA 220 mcg inhaler to the resident. The observation revealed the nurse failed to shake the canister thoroughly before administration. Review of the manufacturers specifications indicated to shake the canister well before administration. The LPN confirmed she should have shook the canister before giving the medications. Review of the current physician's orders [REDACTED]. During an interview on 10/5/11 at 10:41 a.m. LPN CC confirmed the resident was supposed to receive the eye drops and she forgot to give them. Observation of medication pass on 10/5/11 at 11:40 a.m. on resident #30 by LPN BB revealed the resident was given Luminer (insulin) 100 units subcutaneous at 11:44 a.m. Review of the October 2011 physician orders [REDACTED]. Licensed Practical Nurse AA gave resident #98 synthoid,100 micrograms ( mcg) on 10/05/11 at 9:39 a.m. Review of the current physician's orders [REDACTED]. | 2016-01-01 |