cms_ID: 74
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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74 | GATEWAY TRANSITIONAL CARE CENTER | 135011 | 527 MEMORIAL DRIVE | POCATELLO | ID | 83201 | 2018-04-12 | 609 | D | 1 | 0 | 0IO011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff interview, review of facility investigations, and review of the Bureau of Facility Standards Long Term Care Reporting System, it was determined the facility failed to report misappropriation of a controlled medication to the State Survey Agency within 24 hours. This was true for 1 of 9 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 Bureau of Facility Standards Long Term Care Reporting System documented the facility notified the State Survey Agency on 12/1/17 at 11:25 AM, four days after the facility knew about the misappropriation of the controlled medication by Staff #[NAME] | 2020-09-01 |