cms_VT: 2452
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2452 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2011-02-16 | 386 | D | N98G11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure that the physician reviewed the total plan of care for 1 of 39 residents in the Stage 2 sample. (Resident # 9) Findings include: 1. Per record review on 2/16/11, the physician signed an incorrect transcription of a medication order on the February 2011 Physician's Orders on 2/15/11. The printed Physician's Orders included an entry for [MEDICATION NAME] 0.4 mg (milligrams) one tablet sublingual (SL) as needed for chest pain, may repeat every 5 minutes up to 3 doses. Per record review, the January 2011 Physician's Orders, signed on 1/3/11 for Resident #9, state [MEDICATION NAME] 0.4 mg SL four times per day (QID) as needed with meals for [MEDICAL CONDITION] spasms. Per record review on 2/16/11, Resident #9 has a [DIAGNOSES REDACTED]. On 2/16/11 at 9:51 AM, the Director of Nursing (DNS) confirmed the February 2011 Physician's Order signed on 2/15/11 by the physician, which states [MEDICATION NAME] 0.4 mg one tablet SL as needed for chest pain, was incorrect due to a data entry error by the pharmacy. Per telephone interview on 2/16/11 at 10:14 AM with the Pharmacy and DNS, a data entry error occurred when the code for [MEDICATION NAME] was entered into the computer for Resident #9. The February 2011 Physician's Orders for Resident #9 were automatically generated and approved by the Pharmacist for [MEDICATION NAME] 0.4 mg one tablet SL as needed for chest pain, may repeat every 5 minutes, which was then signed by the physician. Also see F428. | 2014-02-01 |