cms_ND: 46
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
46 | THE MEADOWS ON UNIVERSITY | 355024 | 1315 S UNIVERSITY DR | FARGO | ND | 58103 | 2018-12-06 | 761 | D | 1 | 0 | PNS511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review, review of facility policy, and staff interview, the facility failed to ensure accurate labeling of medications for 1 of 10 residents (Resident #6) observed during medication pass. Failure to have undamaged and legible medication labels may result in residents receiving the wrong medication and dose. Findings include: Review of the facility policy titled, Medication 0rdering and Receiving from Pharmacy; Medication Labels occurred on 12/06/18. This undated policy stated, . medication containers having damaged, incomplete, illegible, confusing labels are returned to the dispensing pharmacy for relabeling . in accordance with the medication destruction policy . medication labels are not altered or marked in anyway by nursing personnel . Review of resident #6's medical record occurred on all days of survey. The current physician orders included [MEDICATION NAME], inject 2-12 units subcutaneous three times a day with meals per sliding scale, and Tresiba insulin injection 10 units subcutaneous every morning. Observation on 12/06/18 at 8:18 a.m. showed a nurse (#2) administered insulin to Resident #6 with an insulin pen with the label rubbed off. The label failed to show the medication dose, open date, ordering physician, and expiration date. An interview with an administrative nurse (#1) in the afternoon of 12/06/18, agreed the necessary information on the insulin pen was illegible, and for medication error prevention, illegible insulin pen labels should be replaced per policy. | 2020-09-01 |