cms_SC: 95
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
95 | ELLEN SAGAR NURSING CENTER | 425012 | 1817 JONESVILLE HIGHWAY | UNION | SC | 29379 | 2017-05-11 | 332 | E | 1 | 1 | SD8911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation and interview the facility failed to ensure the medication error rate was less than 5%. The facility had 3 errors of 27 opportunities resulting in a medication error rate of 11.11%. The findings included: On 05/10/2017 at 9:01 AM, LPN #1 was observed during the medication pass. LPN #1 administered 24 units of [MEDICATION NAME] [MED] to Resident #5. Observation revealed the vial of [MED] was opened on 04/11/2017. During an interview on 05/10/2017 at 2:04 PM, LPN #1 confirmed the medication should have been discarded 28 days after opening, on 5/8/17. The LPN also confirmed the resident received 5 doses of [MEDICATION NAME] after day 28. During the medication pass observation of LPN #4 on 05/11/2017 at 9:28 AM, the LPN administered [MEDICATION NAME] that was not completely dissolved via the PEG (Percutaneous Endoscopic Gastrostomy) tube which clogged the tube. While attempting to de-clog the tube, the LPN poured the medication back into the medicine cup but several large pieces of the medication remained in the tube. Using a clean washcloth, LPN #4 removed pieces of the tablet from the connector and discarded them. In addition, while administering the [MED], the connection between the syringe and the tube came loose and a portion of the medication flowed out of the syringe onto the towel. The LPN confirmed the resident did not receive the full dose of the 2 medications. | 2020-09-01 |