cms_NE: 12425
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
12425 | GOOD SHEPHERD LUTHERAN HOME | 285148 | 2242 WRIGHT STREET | BLAIR | NE | 68008 | 2010-06-10 | 281 | D | 0 | 1 | P9FH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference: 175 NAC 12-006.09 Based on record review and interview, the facility failed to administer medications in accordance with physician orders [REDACTED]. The facility had a total census of 80 residents. Findings are: A. Resident 6 was admitted to the facility on [DATE] according to admission and discharge summary. The admission and discharge summary listed the following [DIAGNOSES REDACTED]. A review of physician's orders [REDACTED]. Physician order [REDACTED]. A review of Nurses 24 Hour Report sheet dated 6/4/10 revealed Resident 6's blood pressure on 6/4/10 was 102/42. A review of Resident 6's 6/10 MAR (Medication Administration Record) revealed [MEDICATION NAME] 10 mg (milligram) was initialed indicating the medication was administered on 6/4/10. In an interview on 6/9/10 between 3:30-3:35 PM, the DON (Director of Nursing) confirmed Resident 6 should not have been administered the [MEDICATION NAME] on 6/4/10. The DON also stated Resident 6's doctor should have been notified of Resident 6's blood pressure. A review of Resident 6's MAR, 24 hour report sheet for 5/10, and Resident 6's Nursing Notes for 5/10 revealed no recorded blood pressures on 19 of 31 days in 5/10 as follows: 5/7, 5/8, 5/12, 5/13, 5/15, 5/16, 5/17, 5/18, 5/19, 5/20, 5/21, 5/22, 5/25, 5/26, 5/27, 5/28, 5/29, 5/30, and 5/31/10. In an interview on 6/10/10 at 8:30 AM, the DON confirmed Resident 6's physician order [REDACTED]. | 2014-07-01 |