cms_ID: 11
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11 | ST LUKE'S ELMORE LONG TERM CARE | 135006 | 895 NORTH 6TH EAST | MOUNTAIN HOME | ID | 83647 | 2017-07-27 | 332 | D | 0 | 1 | V9TA11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, it was determined the facility failed to ensure a medication error rate less than 5 percent. This was true for 2 of 37 medications (5.4%) administered during medication pass and effected 2 of 5 residents (#9 and #10) observed during medication pass. This failed practice placed residents at risk of not receiving medications as ordered by the physician and had the potential to lessen the effectiveness of the medications administered. Findings include: 1. Resident #9 was admitted to the facility on [DATE] with multiple diagnoses, including [MEDICAL CONDITION] reflux. Resident #9's Physician order [REDACTED].) On 7/25/17 at 8:25 am, LPN #1 (Licensed Practical Nurse) was observed as she administered morning medications to Resident #9, which included the medication [MEDICATION NAME]. The resident had completed her breakfast and was sitting in the activity room. The Medication Administration Record [REDACTED]. 2. Resident #10 was admitted to the facility on [DATE] with multiple diagnoses, including [MEDICAL CONDITION] reflux. Resident #10's Physician order [REDACTED]. On 7/25/17 at 8:35 am, LPN #1 was observed as she administered morning medications to Resident #10, which included [MEDICATION NAME]. The resident had completed his breakfast and was sitting in his wheelchair in activity room. On 7/26/17 at 1:25 pm, the Director of Nursing stated the delivery of [MEDICATION NAME] should be given on the 7:00 am medication pass. | 2020-09-01 |