cms_ME: 584
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
584 | HORIZONS LIVING AND REHAB CENTER | 205085 | 29 MAURICE DRIVE | BRUNSWICK | ME | 4011 | 2017-09-21 | 514 | B | 0 | 1 | LBFR11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to maintain an accurate Medication Administration Record (MAR) in accordance with physician orders [REDACTED].#69). Finding: On 9/20/17, in review of Resident #69's record, he/she was diagnosed with [REDACTED]. On 6/22/17, the provider increased the scheduled Trazadone frequency to 25 mg twice daily (BID) and according to a Gradual Dose Reduction (GDR) signed by the Provider on 7/14/17 he/she ordered the discontinuation of Trazadone 25 mg PRN every 6 hours. Review of MAR's dated (MONTH) (YEAR) and (MONTH) (YEAR) reveals the PRN order remained on the MAR and as a result the resident received Trazadone 25 mg PRN on the following 5 dates after the medication had been discontinued: 7/16, 7/20, 7/29, 8/3, 8/4. On 8/8/17, the provider reinitiated the Trazadone 25 mg PRN. Following the incident the facility completed an incident report and the issue was corrected, this finding reflects past non-compliance. On 9/20/17 at 12:16 p.m., in an interview with the Director of Nursing (DON), he/she confirmed the past non-compliance finding. | 2020-09-01 |