cms_TN: 7242
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7242 | ST BARNABAS AT SISKIN HOSPITAL | 445008 | 1 SISKEN PLAZA | CHATTANOOGA | TN | 37403 | 2014-10-22 | 333 | D | 0 | 1 | UNTM11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, the facility failed to ensure significant medication errors did not occur for one resident (#18) of four residents reviewed for medications. The findings included: Resident #18 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of a physician order [REDACTED]. Medical record review of a communication form from the [MEDICAL TREATMENT] center dated October 8, 2014, revealed the [MEDICAL TREATMENT] center desired the Phoslo 667 mg be increased to two tablets three times a day to lower the phosphorus level of 7.4 to a goal of 3.5-5.5. The recommendation was noted by the physician on October 9, 2014, but the order was not written until October 10, 2014. Further medical record review of a physician order [REDACTED]. Medical record review of a Medication Administration Record (MAR) for October 2014, revealed Phoslo 667 mg 1 tablet was being given three times a day with meals from October 1, 2014, through October 14, 2014. Further review of the MAR revealed the Phoslo 667 mg was not increased to 2 tablets three times a day until October 14, 2014, at 5:00 p.m. Interview with Licensed Practical Nurse (LPN) #1 on October 22, 2014, at 1:40 p.m., at the 300 nursing station, confirmed the resident was receiving Phoslo 1 tablet since September 5, 2014. Further interview confirmed the LPN noticed a lot of pills in the medication drawer, checked the physician's orders [REDACTED]. Interview with the Director of Nursing on October 22, 2014, at 2:45 p.m., in the conference room, confirmed the order was not documented on the MAR and the patient did not receive the medication as was ordered for four days. | 2018-02-01 |