cms_RI: 75
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 |
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75 | OAK HILL HEALTH & REHABILITATION CENTER | 415027 | 544 PLEASANT STREET | PAWTUCKET | RI | 2860 | 2018-10-11 | 658 | D | 1 | 0 | SL3R11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff interview, it has been determined that the facility failed to ensure the services provided by the facility meet professional standards of quality relative to medication administration charting for 1 of 2 residents (Resident ID# 10). Findings are as follows: According to Basic Nursing, Mosby, 3rd: after administering a drug, the nurse records it immediately on the appropriate record form. Recording the drug includes the name of the drug, dosage, route of administration and exact time of administration. The facility's policy, titled, Administering Medications, states in part, .3.2 The nurse who pours or prepares the medications is solely responsible for safeguarding, administering, and recording each medication . 12. Never pour a medication from one container to another or back into a container from a medicine cup. Drugs from a bottle, box or container which are not labeled should not be used. All meds to be removed from blister pack in descending order. Never give medications from memory. Always refer to Medication Administration Record [REDACTED] 19. The individual administering the medication must initial the resident's MAR indicated [REDACTED]. Record review for Resident ID #10 revealed the following: 1. A 5/29/2018 physician's orders [REDACTED]. 2. A 2/3/2018 physician's orders [REDACTED]. 3. A 6/25/2018 physician's orders [REDACTED]. 4. A 6/25/2018 physician's orders [REDACTED]. Review of the MAR indicated [REDACTED]. Further review of the record revealed a progress note dated 9/15/2018 at 11:02 PM, written by Nurse, Staff C, which states, Resident extremely upset and yelling, stating that (s/he) did not receive (his/her) 'bedtime' meds. (S/he) specifically named which meds (s/he) did not receive and stated that if (s/he) did not receive them, (s/he) wanted to be sent to the hospital. Resident is alert and oriented .Writer administered scheduled [MEDICATION NAME], Asenapine, [MEDICATION NAME] and [MEDICATION NAME] During a surveyor interview on 10/10/2018 at 1:42 PM, with Staff B revealed that on 9/15/2018 Resident ID# 10 was asleep, the above-mentioned medications were not administered, instead they were placed in a labeled cup in the medication cart despite signing that they were given to the resident. A surveyor interview was conducted with Staff C on 10/11/2018 at 8:10 AM. She revealed that on 9/15/2018 Resident ID# 10 was upset and reported that s/he did not receive all of his/her medications. Staff C further revealed that she did administer the above-mentioned medications despite them being signed as administered by Staff B. | 2020-09-01 |