cms_NE: 28
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
28 | DOUGLAS COUNTY HEALTH CENTER | 285019 | 4102 WOOLWORTH AVENUE | OMAHA | NE | 68105 | 2016-09-21 | 323 | E | 0 | 1 | 7TIB11 | Licensure Reference Number: 175 NAC 12-006.09D7a Based upon observations, interviews and record review; the facility failed to ensure Team 1's medication cart was secured when unattended on Wind Song Way unit. This had the potential to affect 14 cognitively impaired, self-mobile residents of the 44 residents that reside on the unit. The facility census was identified as 236. Findings are: [NAME] An observation on 09/21/2016 at 1:26 PM revealed that the Wing Song Way Neighborhood Team 1 medication cart was observed to be in the Wing Song Way Neighborhood commons area, with no staff members present. A check of the cart's medication drawers found them to be unsecured. There were 7 residents in the immediate area. This was confirmed by the nurse manager of the Wing Song Way Neighborhood on 09/21/2016 at 1:28 PM, who secured the cart at this time. An interview with the Nurse Manager of the Wing Song Way Neighborhood on 09/21/2016 at 1:28 PM, confirmed that the cart was unsecured and that medication carts should be secured when unattended. An interview with Registered Nurse A (RN A) at 09/21/2016 1:36 PM revealed that the cart was unlocked about five minutes and RN A had left the unit to go upstairs to fax a document. RN A confirmed that the cart should had been secured prior to RN A's leaving the cart. A record review of the facility's Medication Guidelines/Preparation/Administration Policy dated revised 5/91,7/92, 12/94, 1/95, 6/97, 3/07, 1/09, 12/10; revealed the following: The medication room/cart MUST be closed and locked at all times except when medications are being prepared by the Nurse. | 2020-09-01 |