cms_ID: 90
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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90 | GATEWAY TRANSITIONAL CARE CENTER | 135011 | 527 MEMORIAL DRIVE | POCATELLO | ID | 83201 | 2016-06-24 | 431 | E | 0 | 1 | X31E11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and staff interview, the facility failed to ensure the safe and secure storage of drugs including narcotics and Schedule 2 controlled drugs in a locked storage area, and failed to permit only authorized personnel to have access to the keys. This created the potential for more than minimal harm to residents if they were to ingest the medications, and for diversion of medications by individuals present in the facility. Findings include: The medication cart on R Hall on 6/22/16 at 11:00 am, was observed to be was unattended with the keys left in the lock of the medication cart. The key to gain access to the medication cart and a separate/different key to gain access to narcotics and other controlled drugs in a locked drawer were kept on the same key ring holder. The medication cart was left in the hallway of R Hall near room [ROOM NUMBER], which was a few feet away from the R Hall doorway leading into the facility lobby. There were no residents, visitors, or staff observed in the R Hall at the time. After observing the medication cart continuously for 3 minutes, LPN #2 was observed walking at a rapid pace from the lobby to the medication cart, then removing the keys and locking the medication cart. During an interview with LN #2 on 6/22/16 at 11:05 am, LN #2 stated that she had left the medication cart to take a medication to a resident who was in the Physical Therapy/Occupational Therapy Department. LN #2 stated that she was away from the medication cart for approximately 3 minutes and that while she was in the therapy department she realized she left the keys in the lock of the medication cart when she reached into her pocket and the keys were not in her pocket. LPN #2 also stated the keys to the medication cart and the locked drawer were never to be left in the lock of the medication cart except when the nurse was pouring medications and if she had to leave the medication cart, the medication cart was to be locked and the keys removed. During an interview with the DON on 6/22/16 at approximately 1:00 pm, the DON stated the medication cart ws to be locked when unattended and the keys were never to be left in the lock. | 2020-09-01 |