cms_UT: 34
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
34 | HERITAGE PARK HEALTHCARE AND REHABILITATION | 465003 | 2700 WEST 5600 SOUTH | ROY | UT | 84067 | 2016-08-18 | 514 | D | 0 | 1 | AV3G11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, it was determined that the facility did not maintain complete and accurate medical records for 1 of 31 sampled residents. Specifically,one resident's Medication Administration Record [REDACTED]. Findings include: 1. Resident 191 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 191's medical record was reviewed on 8/16/16. A physician's orders [REDACTED]. A review of resident 191's (MONTH) (YEAR) MAR indicated [REDACTED] a. On 8/2/16 at 5:30 PM, no documentation was present for the administration of the [MEDICATION NAME]. b. On 8/2/16 at 3:30 PM, no documentation was present for the administration of the [MEDICATION NAME]. c. On 8/2/16 at 5:00 PM, no documentation was present for the administration of the carvedilol. d. On 8/2/16 at 5:00 PM, no documentation was present for the administration of the [MEDICATION NAME] sulfate. (Note: Resident 191 was admitted to the facility on [DATE] at 1:39 PM.) A physician's orders [REDACTED]. A review of resident 191's (MONTH) (YEAR) MAR indicated [REDACTED] a. On 8/12/16 at 11:30 AM and 4:30 PM, no documentation was present for the administration of the insulin. b. On 8/13/16 at 11:30 AM and 4:30 PM, no documentation was present for the administration of the insulin. c. On 8/16/16 at 11:30 AM and 4:30 PM, no documentation was present for the administration of the insulin. On 8/17/16 at 9:50 AM, an interview was conducted with the Director of Nursing (DON). The DON stated that she had interviewed the nursing staff and the nursing staff confirmed that they had administered the medications as prescribed to resident 191. On 8/17/16, late entry documentation notes were provided by the DON to justify that the medications in question were administered by the nursing staff as prescribed by the physician. | 2020-09-01 |