cms_SC: 5341
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5341 | MCCOY MEMORIAL NURSING CENTER | 425174 | 207 CHAPPELL DRIVE | BISHOPVILLE | SC | 29010 | 2015-06-11 | 329 | E | 0 | 1 | 6INV11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to ensure that medications were adequately monitored for effectiveness and had specific indications for use for 2 of 6 sampled reviewed residents for unnecessary medications. Resident #146's blood pressure (bp) was not monitored prior to administering [MEDICATION NAME] as required. Resident # 10's behavior monitoring addressed anxiety and depression as behaviors with Social Service notes referencing inappropriate sexual comments to staff, but no documentation in the clinical record of the activity or interventions implemented prior to the use of medication. The findings included: The facility admitted Resident #10 with [DIAGNOSES REDACTED]. Record review of the Behavior Monitoring Psychoactive Flow Record on 6/11/15 at 12:35 PM revealed anxiety and depression as behaviors. Record review of the Social Services Notes on 6/11/15 at 2:53 PM revealed inappropriate sexual comments to staff and impotency concerns by Resident #10. Review of Resident #10's Care Plan on 6/11/15 at 3 PM did not reveal any documentation regarding inappropriate behaviors towards staff or interventions. Record review of Nurses Notes on 6/11/15 at 2:50 PM revealed mental health appointment on 3/2/15 with prescribed medications: [REDACTED] [MEDICATION NAME] E.R. 500 milligrams (mg) 4 tabs daily at bedtime for [MEDICAL CONDITION], [MEDICATION NAME] 20 milligrams (mg) 1 tab at bedtime for [MEDICAL CONDITION], and Klonopin 1mg 1 twice daily for Anxiety. During an interview with the Director of Nursing (DON) on 6/11/15 at 6:35 PM, s/he confirmed mental health appointments on 1/26/15, 3/2/15, 4/21/15,and 5/15/15. The DON reviewed the Nursing Progress Notes and confirmed no documented interventions had been provided to the resident prior to administering of the medications. The facility admitted Resident #146 with [DIAGNOSES REDACTED]. On 6-10-15 at approximately 9:00AM, record review of (MONTH) through (MONTH) (YEAR) Medication Administration Records revealed that resident #146 was receiving [MEDICATION NAME] 50mg. one tablet by mouth twice daily for hypertension (HTN). (Hold if systolic less than 120 mm/hg) millimeters of mercury . The times of medication administration were at 10AM/ pulse and 8PM /pulse. The pulse was taken twice a day instead of the blood pressure (B/P) for the months of (MONTH) through (MONTH) (YEAR). On 6-10-15 at approximately 9:15AM, record review of the Physician's Telephone Order revealed that on 3-25-15 to Hold all BP meds if the systolic is less than 120. Physician order [REDACTED]. Take 1 tablet by mouth twice daily *Hold if systolic ( On 6-10-15 at approximately 10:30AM, record review of the ResidentVital Signs Record revealed from 3-29-15 until 5-24-15 blood pressures were taken on different dates and times. There were 5 blood pressure readings taken that were under the blood pressure reading of a systolic 120mm/hg to hold b/p medication: 4-4-15--3:00PM---B/P 118/68 4-5-15--12:30PM- B/P 100/60 5-3-15--12:15PM--B/P 118/64 5-9-15--1:00PM--- B/P 110/70 5-17-15-1:14PM---B/P 100/70 On 6-10-15 at approximately 11:00 AM, interview with LPN#5 verified that on the [MEDICATION NAME] 50mg. one tablet po twice daily should have a blood pressure taken instead of the pulse. S/he verified that the medication should be held if the systolic blood pressure was 120 mm/hg and below. LPN#5 also verified that the physician order [REDACTED]. [MEDICATION NAME] 50mg. one tablet po twice a day from (MONTH) 1 to (MONTH) 11, (YEAR) provided 103 days -twice a day for 206 dosages for the blood pressure to be taken and held if the systolic was below 120mm. /hg. at the appointed times of 10:00AM and 8:00PM. On 6-10-15 at approximately 3:45PM, record review of the nursing notes from 3-1-15 through 6-11-15 revealed that the blood pressure was frequently taken by staff and documented there. There were 136 times that the blood pressure was over 120mm/hg. taken at different times. There were approximately 40 times that the systolic blood pressure was below 120 mm/hg. at different times documented in the nursing notes. The Blood pressure was taken 176 times during 3-6-15 through 6-11-15 documented in the nursing notes. | 2019-01-01 |