cms_OR: 58
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
58 | PROVIDENCE BENEDICTINE NURSING CENTER | 385018 | 540 SOUTH MAIN STREET | MOUNT ANGEL | OR | 97362 | 2017-07-31 | 329 | D | 1 | 1 | LC2W11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review it was determined the facility failed to ensure appropriate indication for use of medication for 1 of 6 sampled residents (# 129) reviewed for unnecessary medications. This placed residents at risk for unnecessary medications. Findings include: Resident 129 was admitted to the facility in 6/2017 with [DIAGNOSES REDACTED]. A review of physician orders [REDACTED]. Review of a nursing note dated 6/8/17 at 7:10 pm revealed Resident 129 was given two [MEDICATION NAME] which was ordered for another resident. It was noted Resident 129 had a history of [REDACTED]. The facility alerted the physician of the medication error and the physician directed staff to monitor Resident 129 and call if she/he had any adverse reactions. On 7/26/17 at 12:42 pm Staff 6 (RN) acknowledged on 6/8/17 two [MEDICATION NAME] were administered to Resident 129 in error and were intended to be administered to her/his roommate. On 7/26/17 at 4:05 pm Staff 2 (DNS) acknowledged the medication error of 6/8/17. | 2020-09-01 |