cms_MS: 33
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
33 | LEXINGTON MANOR SENIOR CARE, LLC | 255091 | 56 ROCKPORT ROAD | LEXINGTON | MS | 39095 | 2017-06-28 | 332 | D | 0 | 1 | YQ7Y11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interviews, and the facility policy review, the facility failed to maintain a less than five (5) percent (%) medication error rate for two (2) of 34 medications administered, which caused an error rate of 5.8%, as evidenced by failure to wait at least five (5) minutes between eye drops for Unsampled Resident D. Findings include: Review of the facility's Specific Medication Administration Procedures policy, with an effective date of 05/01/2009, revealed K. Wait at least five (5) minutes before applying additional medication to the eye. Review of the Nursing (YEAR) Drug Handbook, page 233, for [MEDICATION NAME] eye drops, revealed, If more than on ophthalmic product is being used, give them at least five (5) minutes apart. Page 468 of the Nursing (YEAR) Drug Handbook, for Dorzolamide eye drops, revealed if more than one ophthalmic drug was being used, give at least 10 minutes apart. During medication pass observation on 6/27/2017 at 8:30 AM, Licensed Practical Nurse (LPN) #5 administered eye drops for Unsampled Resident D. LPN #5 placed one (1) drop of Dorzolamide ([MEDICATION NAME]) into each eye. LPN #5 then placed an addition drop of [MEDICATION NAME] at 8:32 AM, into each eye. The time sequence between eye medications was two (2) minutes. Review of the (MONTH) (YEAR) Physician Orders, for Unsampled Resident D, revealed an order dated 2/10/2015, for [MEDICATION NAME] for one (1) drop into both eyes twice a day and an order dated 4/10/2015, for Dorzolamide ([MEDICATION NAME]) one (1) drop in each eye twice a day. Interview on 6/27/2017 at 8:35 AM, with LPN #5, revealed she had not waited five (5) minutes between the eye medications but stated she should have. Registered Nurse (RN) #2, was also present during the administration of the eye medications, and when asked if giving both eye medications close together was a problem, she stated, I don't even know what they were. Interview on 6/28/2017 at 2:40 PM, with LPN #3, revealed there had been no in-service specific for eye drop administration. Interview on 6/28/2017 at 3:00 PM, with the Registered Pharmacist Consultant, revealed the statement, I tell them to wait five (5) minutes between eye drops. | 2020-09-01 |