cms_RI: 1587
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1587 | EVERGREEN HOUSE HEALTH CENTER | 415056 | 1 EVERGREEN DRIVE | EAST PROVIDENCE | RI | 2914 | 2012-03-26 | 428 | D | 0 | 1 | 1QNJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview it was determined the facility failed to ensure that monthly medication reviews by the consulting pharmacist include identification of irregularities for 2 of 28 sample residents; ID # 1 relative to the administration of an antidepressant medication and ID #16 relative to sliding scale insulin administration. Findings are as foll 1. Clinical record review of resident ID # 1 revealed a 1/25/2012 physician order [REDACTED]. Review of the resident's February 2012 Medication Administration Record [REDACTED]. 2. Clinical record review of resident ID # 16 revealed a physician order [REDACTED]. For BS less than 60 - call MD For BS less than 89 - hold insulin 90 - 110 = 2 units 111- 130 = 4 units 131 - 150 = 6 units 151 - 170 = 8 units 171- 190 = 10 units 191 - 210 = 12 units 211- 230 = 14 units 231- 245 = 16 units For BS greater than 250 - call MD The resident was administered the wrong dose of Novolog Insulin per sliding scale on 1/3/2012 at 11:30 AM, 1/11/2012 at 9:00 PM, 1/13/2012 at 11:30 AM, 1/17/2012 at 11:30 AM, and 1/19/2012 at 9:00 PM. Review of the Pharmacy Medication Regimen Review for 2/23/2012 for these 2 residents failed to reveal evidence that the pharmacy consultant identifed that the antidepressant continued to be administered to ID # 1, as well as the sliding scale insulin errors for resident ID # 16. When interviewed on 3/23/2012 at 11:00 AM, the pharmacy consultant could not provide evidence that these irregulaties were reported to either the physician or the Director of Nursing. | 2015-07-01 |