cms_ID: 73
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 |
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73 | GATEWAY TRANSITIONAL CARE CENTER | 135011 | 527 MEMORIAL DRIVE | POCATELLO | ID | 83201 | 2018-04-12 | 608 | D | 1 | 0 | 0IO011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff interview, record review, and review of facility investigations and a police report, it was determined the facility failed to report misappropriation of a controlled medication to law enforcement within 24 hours. This was true for 1 of 7 residents (#9) whose medications were reviewed. The delay in reporting created the potential for misappropriation of controlled medication to continue without detection. Findings include: Resident #9 was admitted to the facility on [DATE] with multiple diagnoses, including end stage liver disease. A physician's orders [REDACTED]. A subsequent physician's orders [REDACTED]. An undated summary of a facility investigation, signed by the Administrator, DNS, and ADON on 12/8/17, documented, On 11/27/17 it was reported to the DNS that during an attempt to waste a discontinued narcotic, one of the medication cards on (Resident #9's name) had medications taped back into the card. The investigation documented (Staff A's name) had signed out the medications to this resident and that the medications taped in did not correlate, in appearance, with what was described on the Pharmacy identification tag. The summary documented the remaining 11 doses in the bubble pack card were [MEDICATION NAME], not [MEDICATION NAME]. The investigation summary documented the police department was notified on 12/1/17, four days after the misappropriation of Resident #9's controlled medication by Staff #A was reported to the DNS on 11/27/17. On 4/16/18, the facility provided a Police Department Detail Incident Report, dated 12/1/17. The report documented a police officer responded to the facility regarding a reported theft of medication. The police report documented a police officer spoke to Staff #A on 12/2/17 and Staff #A, .admitted to taking the pills between 11/14/17 and 11/17/17 .she had taken at least eleven [MEDICATION NAME] pills, possible (sic) more, though she did not remember the exact amount .she had taken the pills for personal use, and had already consumed them. The report documented the incident was forwarded to the narcotics division. The police report documented on 12/21/17 the narcotics division was not mandated to press a charge for the theft of the [MEDICATION NAME]. | 2020-09-01 |