cms_UT: 92
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
92 | PIONEER CARE CENTER | 465020 | 815 SOUTH 200 WEST | BRIGHAM CITY | UT | 84302 | 2018-06-21 | 760 | D | 0 | 1 | EUNP11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, it was determined the facility did not ensure that resident's were free of significant medication errors. Specifically, a resident with an allergy to [MEDICATION NAME] received [MEDICATION NAME] instead of the ordered pain medication. Resident identifier: 14. Findings include: Resident 14 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 14's medical record was reviewed on 6/20/18. Review of resident 14's ADMISSION RECORD revealed that resident 14 had an allergy to [MEDICATION NAME]. Review of the physician's orders [REDACTED]. On 12/27/17, an order was received to administer [MEDICATION NAME] ([MEDICATION NAME]-[MEDICATION NAME]) 7.5/325 mg (milligrams) 2 tablets by mouth every 6 hours as needed for pain. On 5/17/18 at 8:37 PM, a licensed nurse documented in a progress note, .Medication error: Gave 2 [MEDICATION NAME] 10 mg instead of 2 [MEDICATION NAME] 7.5 mg in error, discovered error in narcotic count. Patient has a listed allergy to [MEDICATION NAME]. MD (Medical Doctor) and wife notified. Error was approx (approximately) 2 hours ago and shows no ill effects to medication error. Wife requested we not tell him about error until possible effects would wear off as she feels his knowing would exacerbate his symptoms if any. She could not remember any ill effect to [MEDICATION NAME] in the past. VS (vital signs) stable, L[NAME] (level of consciousness) within normal limits. VS (temperature) 97.8 - (pulse) 71 - (respirations) 16 - (blood pressure) 118/67 Sats (oxygen saturation) 92%. On 6/21/18 at 10:55 AM, an interview was conducted with Licensed Practical Nurse (LPN) 3. LPN 3 stated that she did not look at the medication card prior to administering [MEDICATION NAME] to resident 3. | 2020-09-01 |