cms_NE: 88
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
88 | AZRIA HEALTH MONTCLAIR | 285054 | 2525 SOUTH 135TH AVENUE | OMAHA | NE | 68144 | 2017-06-06 | 332 | D | 0 | 1 | LLQX11 | **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%. Observation of 26 medications administered revealed 3 errors resulting in an error rate of 11.53 %. The errors affected 2 (Resident 219 and 224) of 4 sampled residents. The facility staff identified a census of 128. Findings are: [NAME] Record review of Resident 219's Medication Administration Record [REDACTED]. The directions to give the Potassium was that it was to be given with food and a full glass of water. The directions for the [MEDICATION NAME] (anti hypertension medication) 75 milligrams (mg) daily was that the medication was to be held if Resident 219's systolic (top number of a blood pressure) was less than 110 and to call the physician. Observation on 6-05-2017 at 7:08 AM of the medication administration for Resident 219 revealed Medication Assistant (MA) A prepared Resident 219's medication and administered them to Resident 219 with a half a cup of water and no food. Resident 219 stated after taking the medications it's not good to give me medications on an empty stomach. No blood pressure was observed to have been obtained prior to giving the [MEDICATION NAME] medication. On 6-5-2017 at 7:23 AM an interview was conducted with MA [NAME] During the interview, review of Resident 219's MAR for (MONTH) (YEAR) was reviewed. When asked if Resident 219's blood pressure was obtained prior to giving the [MEDICATION NAME] or was the Potassium given with food, MA A stated no. B. Record review of Resident 224's MAR for (MONTH) (YEAR) revealed Resident 224 had orders for medications that included Potassium Chloride (supplement) 20 meq to be given daily. The directions to give the Potassium was that it was to be given with food and a full glass of water. Observation on 6-05-2017 at 7:25 AM revealed MA B prepared and administered Resident 224's medications with water and no food. On 6-05-2017 at 7:33 AM an interview was conducted with MA B. MA B confirmed during the interview Resident 224's potassium was not administered with food as directed. | 2020-09-01 |