cms_NE: 5783
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5783 | HILLCREST HEALTH & REHAB | 285133 | 1702 HILLCREST DRIVE | BELLEVUE | NE | 68005 | 2015-06-03 | 332 | D | 0 | 1 | EJB611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER 175 NAC 12-006.10D Based on observation, record review and interview; the facility staff failed to ensure a medication error rate of less than 5%. Observations of 29 medications administered revealed 3 errors for 2 residents (Resident 584 and 582) with a resulting error rate of 10.34%. The facility staff identified a census of 83. Findings are: A. Record review of a physician's orders [REDACTED]. Record review of a physician/prescriber sheet dated 5-15-2015 revealed additional MEDICATION ORDERS FOR [REDACTED]. Observation on 6-02-2015 at 7:47 AM of the medication administration for Resident 584 revealed Registered Nurse (RN) C prepared all the AM medication for Resident 584. Observation of the [MEDICATION NAME] label from the pharmacy identified the dose of [MEDICATION NAME] as 500 mg with 400 mg of chond. RN C took the medications into Resident 584 room. RN C gave Resident 584 1 spray to each nostril of the [MEDICATION NAME] and administered the [MEDICATION NAME]. An interview with RN C was conducted on 6-02-2015 at 8:00 AM. RN C confirmed Resident 584 had received 1 spray to each nostril and not the 2 sprays as ordered. A follow up interview was conducted with RN C on 6-02-2015 at 11:05 AM. RN C confirmed the amount of [MEDICATION NAME] that was administered to Resident 584 was not the correct dose. B. Record review of a Current Orders sheet as of 6-01-2015 revealed Resident 582's practitioner had ordered medications that included [MEDICATION NAME] (Medication used to prevent chest pain) 60 mg every morning before breakfast. Observation on 6-2-2015 at 8:20 AM revealed RN H prepared to administer the morning medications to Resident 582. Resident 582 was in the room and beginning to eat breakfast. RN H administered the medications that included the [MEDICATION NAME] to Resident 582. An interview with RN H was conducted on 6-02-2015 at 8:22 AM. RN H confirmed Resident 582 was eating breakfast when the [MEDICATION NAME] was administered. | 2019-09-01 |