cms_NE: 89
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
89 | AZRIA HEALTH MONTCLAIR | 285054 | 2525 SOUTH 135TH AVENUE | OMAHA | NE | 68144 | 2017-06-06 | 333 | 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 1 (Resident 219) of 9 residents reviewed was free of significant medication errors. The facility staff identified a census of 128. Findings are: [NAME] Record review of a Physician Order's Sheet for 6-2017 revealed an order for [REDACTED]. Observation on 6-5-2017 at 7:08 AM of the medication administration for Resident 219 revealed Certified Medication Assistant (CMA) 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 CMA [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], CMA A stated no. Record review of Resident 219's MAR for (MONTH) (YEAR) revealed on 5-19-2017 Resident 219's [MEDICATION NAME] medication was signed of as being given with a recorded blood pressure of 106/62. On 6-6-2017 at 7:58 AM an interview was conducted with the facility Pharmacist. During the interview review of Resident 219's order for the [MEDICATION NAME] was reviewed. When asked if the medication was given outside of the physicians orders would that be a significant error, the Pharmacist stated yes. | 2020-09-01 |