cms_RI: 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 | OAK HILL HEALTH & REHABILITATION CENTER | 415027 | 544 PLEASANT STREET | PAWTUCKET | RI | 2860 | 2017-12-20 | 759 | D | 1 | 0 | MUG111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on surveyor observation, record review and staff interview, it was determined that the facility has failed to ensure that each resident's medication regimen is free of medication error rates of 5% or greater. Based on 30 opportunities for error, there were 2 errors involving 2 residents (ID #'s 71 and 84) resulting in an error rate of 6.67%. Findings are as follows: 1. Resident ID # 84 has a physician's orders [REDACTED]. During observation of the medication pass on 12/14/2017 at 6:40 AM, the nurse administered the breathing treatment 2 hours and 40 minutes after the scheduled time. 2. Resident ID # 71 has a physicians order dated 11/28/2017 for [MEDICATION NAME] 25 mg, give 50 mg by mouth three times a day .hold for systolic (blood pressure) less than 100 and heart rate less than 60. During observation of the medication pass on 12/14/2017 at 7:11 AM, the nurse administered the [MEDICATION NAME] without taking a blood pressure reading or obtaining a heart rate. Although a blood pressure reading was documented on the medication administration record, the surveyor was in the presence of the nurse from 5:55 AM until 7:38 AM and did not witness the nurse obtain a blood pressure or heart rate prior to administering the [MEDICATION NAME]. During an interview with the medication nurse immediately following these observations he was unable to explain why he had not taken the blood pressure or pulse prior to administration of the medication. | 2020-09-01 |