| 39 |
GREENBRIAR HEALTHCARE |
305005 |
55 HARRIS ROAD |
NASHUA |
NH |
3062 |
2018-12-19 |
580 |
D |
0 |
1 |
P2R411 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, it was determined that the facility failed to notify the physician of significant change for 1 resident out of a final sample size of 40 residents. (Resident identifier is #207.) Findings include: Review on 12/18/18 of Resident #207's EMAR (Electronic Medication Administration Record) for the month of (MONTH) revealed that on 11/9, 16, 19, 21, 26, 28, and 30/2018 there were medications scheduled for 9:00 a.m. that were coded as 1 Out of the Facility which were [MEDICATION NAME] Acid 500 mg (milligram), Aspirin 325 mg, [MEDICATION NAME] 1000 units,[MEDICATION NAME] mg, [MEDICATION NAME] 6 units, [MEDICATION NAME] 1 mg, [MEDICATION NAME] 75 mg, [MEDICATION NAME] 300 mg, [MEDICATION NAME] 250 mg, Acidophilus 2 capsules, [MEDICATION NAME] 500 mg, [MEDICATION NAME] 800 mg, and Sodium [MEDICATION NAME] 650 mg. Review on 12/18/18 of Resident #207's EMAR for the month of (MONTH) (YEAR) revealed that on 12/3, 5, 7, 10, 12, 14, and 17/ (YEAR) there were medications scheduled for 9:00 a.m. that were coded as 1 Out of the Facility which were [MEDICATION NAME] Acid 500 mg, Aspirin 325 mg, [MEDICATION NAME] 1000 unit,[MEDICATION NAME] mg, [MEDICATION NAME] 6 units, [MEDICATION NAME] 1 mg, [MEDICATION NAME] 75 mg, [MEDICATION NAME] 300 mg, [MEDICATION NAME] 250 mg, Acidophilus 2 capsules, [MEDICATION NAME] 500 mg, [MEDICATION NAME] 800 mg, and Sodium [MEDICATION NAME] 650 mg. Interview on 12/18/18 at 2:08 p.m. with Staff J (Unit Manager) confirmed the above findings and that Resident #207 was out of the facility on the said dates listed above. Staff J also confirmed that on the EMAR for 12/14/18 it was their initials on the 9:00 a.m. medications, which were listed above, and that they did not administer as Resident #207 was at [MEDICAL TREATMENT]. Staff J revealed that Resident #207 goes to the [MEDICAL TREATMENT] center on Monday, Wednesday and Friday and that Resident #207 leaves that facility around 7:30 a.m. and comes back from [MEDICAL TREATMENT] around 11:30 a.m. Staff J also revealed that 11/9, 16, 19, 21, 26, 28, and 30/2018 and 12/3, 5, 7, 10, 12, 14, and 17/ (YEAR) were [MEDICAL TREATMENT] days. Staff J was unable to provide more information and explanation if the physician was notified for the 9:00 a.m. medications that was not given on dates listed above. Review on 12/18/18 of Resident #207's nurses notes for the month of (MONTH) and (MONTH) (YEAR) revealed that there were no nurses notes regarding physician notification of 9:00 a.m. medications, as listed above, not being administered on dates listed above. Review on 12/18/18 of Resident #207's physician, nephrologist, and nurse practitioner notes for the month of (MONTH) and (MONTH) (YEAR) revealed that there were no physician or nurse practitioner notes regarding being notified of medications, as listed above, not being administered on dates listed above. Interview on 12/19/18 at 8:59 a.m. with Staff W (License Practical Nurse) confirmed that it was their initials on 11/16, 26, 28, and 30/2018 and 12/ 3, 5, 7, 10, 12, and 17/2018 on the 9:00 a.m. medications, as listed above. Staff W revealed that Resident #207 was at the [MEDICAL TREATMENT] center and that they did not administer the 9:00 a.m. medications or send medications with Resident #207. Staff W was unable to provide more information or explanation if physician was notified. |
2020-09-01 |